新生儿高胆红素血症时肝功能及血糖水平的动态观察

MONITORING OF HEPATIC FUNCTION AND BLOOD GLUCOSE IN NEONATAL HYPERBILIRUBINEMIA

本研究对131创新生儿高胆红素血症患儿检测9项代表肝功能状态的酶和蛋白质，同时作血糖水平的动态观察。结果显乐高胆忠）L的肝功能均有不同程度变化，其中AsT、LDH、ALP明显升高，与对照组相比有显著性差异；ALT和γ-GT亦升高但变化较小伙儿和G此基本在正常水平。高胆患儿发生低血糖的比率达43．5％，但与血从岛素水平无明显关系。故认为对新生儿高胆红素血症的患此必须注意保护肝功能并同时监测血糖，以避免低血糖遣成的脑损伤。

? hepatic enzymes and proteins were determined in 131 neonatal patients with hyperbilirubinemia, theirblood glucose was checked at the same time. The results showed that all enzymes increased in those new-borns, especially AST, LDH and ALP. Hypoglycemia was noted in 57(43. 5% ) of 131 cases, but relation-ship between blood glucose and insulin is not clear. It is suggested to pr0tect hepatic function and to keepnormal blood glucose level in care of the newborns with hyperbilirubinemia