外源性磷酸肌酸对重度窒息新生儿血清S-100B 蛋白及NSE 水平的影响

目的:探讨外源性磷酸肌酸对重度窒息新生儿血清S-100B蛋白和特异性神经元烯醇化酶含量(NSE)的影响。方法:重度窒息的新生儿40例,随机分为两组,常规治疗组21例,给予一般治疗(氧疗、支持、对症)和胞二磷胆碱治疗。磷酸肌酸治疗组19例,在常规治疗基础上,生后12h内给予磷酸肌酸治疗1g/d),另外同期住院的新生儿湿肺和黄疸患儿14例为正常对照组。均与生后48h和生后10天取血检测血清S-100B蛋白和NSE含量。并于生后第14天进行新生儿行为神经测定(NBNA评分)。结果:磷酸肌酸治疗组和常规治疗组患儿生后48h血清S-100B蛋白和NSE含量无显著差异(※P>0.05,※P>0.05),与正常对照组比较差异具有显著性(△P<0.05,△P<0.05),生后10天血清S-100B和NSE含量在常规治疗组患儿和磷酸肌酸组相比具有显著差异,磷酸肌酸治疗组两者明显下降(※P<0.05,※P<0.05)。生后三周的行为神经评估(NBNA评分)<35分者所占百分比磷酸肌酸治疗组27%与常规治疗组组53%比较,差异均具有显著性意义(x2=6.112,※P<0.05)。结论:磷酸肌酸用于治疗新生儿缺氧缺血性脑病能够改善脑的能量代谢,降低脑损伤的程度,改善神经行为,降低致残率。

Effects of Exogenous Phosphocreatine on Level of S-100B Protein and NSEin Serum of Newborn with Serious Asphyxia

Objective:To observe the effect of exogenous phosphocreatine on the level changes of S100b protein and NSE In serum with serious hypoxia-ischemic encephalopathy in newborn infants.Methods:40 serious asphxia newborn were randomly devided into two groups:routin therapy group(21 newborns),routin treatment with oxygen,nutrition and citicoline(CTL).The treatment group(19 newborns) were given exogenous phosphocreatine(12h after born,1g/d) besides conventional therapy which was given in control only.the control gr...