Objective:To investigate the predictive value of of serum NSE,umbilical cord blood albumin levels in hyperbilirubinemia full-term neonates with brain injury.Methods:300 cases of hyperbilirubinemia full-term neonates i...Objective:To investigate the predictive value of of serum NSE,umbilical cord blood albumin levels in hyperbilirubinemia full-term neonates with brain injury.Methods:300 cases of hyperbilirubinemia full-term neonates in our hospital during January 2018 to November 2019 were chosen as hyperbilirubinemia group,200 cases of healthy full-term neonates who were delivered in our hospital during the same period and whose general information matched were chosen as normal control group.According to whether the hyperbilirubinemia group had brain injury,they were further divided into bilirubin encephalopathy group(n=34)and non-bilirubin encephalopathy group(n=266).NSE,umbilical cord blood albumin levels in hyperbilirubinemia group and normal control group were compared.Clinical data,NSE and umbilical cord blood albumin levels between bilirubin encephalopathy group,non-bilirubin encephalopathy group were compared.Risk factors associated with brain injury in full-term newborn with hyperbilirubinemia were analyzed by logistics regression,predictive value of NSE and umbilical cord blood albumin on brain injury in full-term newborn with hyperbilirubinemia were evaluated by ROC curve.Results:NSE level in hyperbilirubinemia group was higher than that in normal control group(P<0.05).There was no significant difference in umbilical cord blood albumin between two groups(P>0.05).Incidence of jaundice,anemia,indirect bilirubin peak,total bilirubin peak and NSE level in bilirubin encephalopathy group were higher than those in non-bilirubin encephalopathy group,level of umbilical cord blood albumin was lower than that in non-bilirubin encephalopathy group(P<0.05).Logistic regression analysis showed that jaundice,anemia,indirect bilirubin peak,total bilirubin peak,NSE and umbilical cord blood albumin within 24h after birth were risk factors for hyperbilirubinemia with brain injury(P<0.05).When NSE was 67.09 ng/mL,the yoden index was the highest,with sensitivity and specificity of 79.70%,55.88%respectively.When the umbilical cord blood albumin was 4.20mg/mL,the jorden index was the highest,sensitivity and specificity were 76.32%,82.35%respectively.Conclusion:Abnormal changes in serum NSE,umbilical cord blood albumin levels are observed in full-term neonates with hyperbilirubinemia,moreover they have value of early prediction for subsequent brain injury.展开更多
目的探讨早产儿脑白质损伤(WMD)发生率及临床表现;研究WMD早期S100B蛋白、神经元特异性烯醇化酶(NSE)及肌酸激酶脑型同工酶(CK-BB)的动态变化。方法选择2011年1月至10月临床资料完整的早产儿病例,生后24、72、120 h采静脉血,应用化学发...目的探讨早产儿脑白质损伤(WMD)发生率及临床表现;研究WMD早期S100B蛋白、神经元特异性烯醇化酶(NSE)及肌酸激酶脑型同工酶(CK-BB)的动态变化。方法选择2011年1月至10月临床资料完整的早产儿病例,生后24、72、120 h采静脉血,应用化学发光法检测S100B蛋白与NSE,酶联免疫吸附法检测CK-BB。据颅脑超声检查分为WMD组(18例)及无WMD作为对照组(53例)。结果早产儿中WMD发生率为25.35%。WMD组惊厥、呼吸暂停、肌张力改变所占比例均高于无WMD组(P均<0.05)。WMD组生后24、72、120 h S100B蛋白含量均高于无WMD组(P均<0.05);WMD组生后24 h NSE含量高于无WMD组(P<0.01),72、120 h两组差异无统计学意义(P均>0.05);WMD组生后24、72、120 h CK-BB含量均高于无WMD组(P均<0.05)。结论 WMD早产儿S100B蛋白、NSE及CK-BB在生后24 h内均升高,S100B蛋白与CK-BB升高持续时间长。展开更多
基金Guilin Scientific Research and Technology Development Project(No.20150403-6-1)Project to improve the basic scientific research ability of young and middle-aged teachers in Guangxi Universities(No.KY2016LX247)Young and middle-aged faculty research capacity Enhancement project of Guilin Medical College(No.2018glmcy096)
文摘Objective:To investigate the predictive value of of serum NSE,umbilical cord blood albumin levels in hyperbilirubinemia full-term neonates with brain injury.Methods:300 cases of hyperbilirubinemia full-term neonates in our hospital during January 2018 to November 2019 were chosen as hyperbilirubinemia group,200 cases of healthy full-term neonates who were delivered in our hospital during the same period and whose general information matched were chosen as normal control group.According to whether the hyperbilirubinemia group had brain injury,they were further divided into bilirubin encephalopathy group(n=34)and non-bilirubin encephalopathy group(n=266).NSE,umbilical cord blood albumin levels in hyperbilirubinemia group and normal control group were compared.Clinical data,NSE and umbilical cord blood albumin levels between bilirubin encephalopathy group,non-bilirubin encephalopathy group were compared.Risk factors associated with brain injury in full-term newborn with hyperbilirubinemia were analyzed by logistics regression,predictive value of NSE and umbilical cord blood albumin on brain injury in full-term newborn with hyperbilirubinemia were evaluated by ROC curve.Results:NSE level in hyperbilirubinemia group was higher than that in normal control group(P<0.05).There was no significant difference in umbilical cord blood albumin between two groups(P>0.05).Incidence of jaundice,anemia,indirect bilirubin peak,total bilirubin peak and NSE level in bilirubin encephalopathy group were higher than those in non-bilirubin encephalopathy group,level of umbilical cord blood albumin was lower than that in non-bilirubin encephalopathy group(P<0.05).Logistic regression analysis showed that jaundice,anemia,indirect bilirubin peak,total bilirubin peak,NSE and umbilical cord blood albumin within 24h after birth were risk factors for hyperbilirubinemia with brain injury(P<0.05).When NSE was 67.09 ng/mL,the yoden index was the highest,with sensitivity and specificity of 79.70%,55.88%respectively.When the umbilical cord blood albumin was 4.20mg/mL,the jorden index was the highest,sensitivity and specificity were 76.32%,82.35%respectively.Conclusion:Abnormal changes in serum NSE,umbilical cord blood albumin levels are observed in full-term neonates with hyperbilirubinemia,moreover they have value of early prediction for subsequent brain injury.
文摘目的探讨早产儿脑白质损伤(WMD)发生率及临床表现;研究WMD早期S100B蛋白、神经元特异性烯醇化酶(NSE)及肌酸激酶脑型同工酶(CK-BB)的动态变化。方法选择2011年1月至10月临床资料完整的早产儿病例,生后24、72、120 h采静脉血,应用化学发光法检测S100B蛋白与NSE,酶联免疫吸附法检测CK-BB。据颅脑超声检查分为WMD组(18例)及无WMD作为对照组(53例)。结果早产儿中WMD发生率为25.35%。WMD组惊厥、呼吸暂停、肌张力改变所占比例均高于无WMD组(P均<0.05)。WMD组生后24、72、120 h S100B蛋白含量均高于无WMD组(P均<0.05);WMD组生后24 h NSE含量高于无WMD组(P<0.01),72、120 h两组差异无统计学意义(P均>0.05);WMD组生后24、72、120 h CK-BB含量均高于无WMD组(P均<0.05)。结论 WMD早产儿S100B蛋白、NSE及CK-BB在生后24 h内均升高,S100B蛋白与CK-BB升高持续时间长。
