期刊文献+

TNF-α和IL-1β对新生儿缺血缺氧性脑病的临床诊断价值

The clinical diagnostic value of TNF-α and IL-1β in neonatal hypoxic ischemic encephalopathy
下载PDF
导出
摘要 目的探讨TNF-α和IL-1β对新生儿缺血缺氧性脑病的临床诊断价值。方法 2013年1月~2014年5月收集我院新生儿科的住院新生儿50例,作为缺血缺氧性脑病组。对照组为同期正常出生的足月新生儿50例。分别比较缺血缺氧性脑病组和对照组在出生1 d及出生后7 d血清中TNF-α和IL-1β。结果 1缺血缺氧性脑病组与对照组出生1 d及出生后7 d血清中TNF-α及IL-1β明显高于对照组,差异有统计学意义(P〈0.05);2缺血缺氧性脑病组中死亡的患儿TNF-α和IL-1β水平明显高于存活者(P〈0.05)。结论 TNF-α和IL-1β能够较好地反映新生儿缺血缺氧性脑病的程度,发生缺血缺氧性脑病死亡的患儿,体内TNF-α和IL-1β明显高于未发生死亡的患儿,TNF-α和IL-1β对诊断缺血缺氧性脑病有较高的临床价值。 Objective To investigate the clinical diagnostic value of TNF-and IL-1 in neonatal hypoxic ischemic encephalopathy. Methods A total of 50 patients with neonatal department of our hospital were collected from January2013 to May 2014(HIE group). The control group(50 cases) was term newborns with normal birth. IL-1β and TNF-αwere compared between the control group and at 1 day and 7 days after birth. Results(1)The serum levels of IL-1βand TNF-α were significantly higher than those of the control group, and the difference was statistically significant(P〈0.05).(2)The TNF-α and IL-1β levels in the death of the HIE group were significantly higher than those of the surviving children(P〈0.05). Conclusion TNF-α and IL-1β can better respond to neonatal hypoxic ischemic encephalopathy,and TNF-α and IL-1β in the IL-1 and IL-1 are higher than those in the patients with hypoxic ischemic encephalopathy.
作者 陈北洋
出处 《中国现代医生》 2015年第34期58-60,共3页 China Modern Doctor
关键词 TNF-Α IL-1Β 缺血缺氧性脑病 新生儿 TNF-α IL-1β Hypoxic ischemic encephalopathy Newborn
  • 相关文献

参考文献15

  • 1Silverstein FS, Barks JD,Hagan P,et al. Cytokines andperinatal brain injury[J].Neurochem In,2014,30(5) ;375-383.
  • 2何志旭,尚峰.国内外特发性血小板减少性紫癜诊断标准的比较[J].实用儿科临床杂志,2006,21(15):1035-1036. 被引量:20
  • 3Liu F,Ooi YE,Fung MC. Analysis of immunomodulatingcytokine mRNAs in themouse induced bymushroompolysaccharides[J]. Life Sc,2012,64(6) : 1005-1011.
  • 4李立仙,戴黎萌.缺血再灌注的免疫细胞与细胞因子[J].国外医学.免疫学分册,2011,23(3):240.
  • 5韩玉昆.新生儿缺氧缺血性脑病诊断依据和临床分度[J].中华儿科杂志,1997,35(2):99-100. 被引量:2786
  • 6刘玉梅,潘云燕,宋莲荣,李飞,闫萍.新生儿缺氧缺血性脑病血清hs-CRP和TNF-α的变化及意义[J].中国热带医学,2004,4(5):729-730. 被引量:17
  • 7Koksal N, Harmanci R,CetinkayaM,et al. Role of procal-citonin and CRP in diagnosis and follow -up ofneonatalsepsis[J]. Turk J Pediatr,2012,49(4) :21-29.
  • 8AssummaM, Signore F,Pacifico L,et al. Serum procalci-tonin concentrations in term delivering mothers and theirhealthy offspring:A longitudinal study[J]. Clin Chem,2012,46(3):1583-1587.
  • 9Joram N,Boscher C,Denizot S,et al. Umbilical cord bloodpro calcitonin and C reactive protein concentrations asmarkers for early diagnosis of very early onset neonatal in-fection[J]. Arch Dis Child,2010,91(8) :65-66.
  • 10Sudoi-Szopifiska I,Cwikla JB. Current imaging techniquesin rheumatology : MRI, scintigraphy and PET[J], Pol JRadiol,2013,78(3) :48-56.

二级参考文献15

  • 1杨士元.特发性血小板减少性紫癜诊疗常规[J].中华儿科杂志,1987,25(2):104-104.
  • 2[1]Buttini M, Appel K, Sauter A, et al. Expression of tumar necrosis factor alpba focal cerebra ischaemia in the rat[J]. Neuroseience. 1996,71 (1): 1.
  • 3[4]Roberts WL, Mouton L, Law TC, et al. Evaluation of nine anomated high sencitivity C - reactive protein methods: implications for clinical and epidemiological applications[J]. Clin Chem, 2001,47:418 - 423.
  • 4[7]Rafac N, Ridker PM. High- Sencitivity C - reactive protein: a novel and promising marker of coronary heart disease [J]. Clin Chem, 2001,47: 403411.
  • 5[8]Tezono K., Sarker KP., Kikuchi H., Bioactivity of the vascular endothelial growth factor trapped in fibrin clots: production of IL - 6 and IL - 8 in monocytes by fibrin clots[J]. Haemostasis. 2001 Mar - Apr; 31 (2): 7179.
  • 6Gambino R. C-reactive protein-undervalued, underutilized. Clin Chem, 1997, 43(11): 2017-2018.
  • 7Steel DM, Whitehead AS. The major acute phase reactants: C-reactive protein, serum amyloid P component and serum amyloid A protein. Immunol Today, 1994 , 15(2): 81-88.
  • 8Jaye DL, Waites KB. Clinical applications of C-reactive protein in pediatrics. Pediatr Infect Dis J, 1997, 16(8): 735-746, quiz 746-747.
  • 9Pourcyrous M, Bada HS, Korones SB, et al. Significance of serial C-reactive protein responses in neonatal infection and other disorders. Pediatrics, 1993, 92(3): 431-435.
  • 10Diagnosis and Treatment of Idiopathic Thrombocytopenic Purpura.Recommendations of the American Society of Hematology[J ]. Ann Intern Med, 1997,126(4) :319 - 326.

共引文献2844

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部