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产前牛磺酸干预生长受限患儿脑发育障碍效果分析
作者:林伟斌 
单位:深圳市妇幼保健院
关键词:牛磺酸 生长受限 脑发育障碍 
分类号:
出版年·卷·期(页码):2017·45·第一期(93-96)
摘要:

摘要:目的 探究产前牛磺酸干预生长受限胎儿脑发育障碍效果。方法 选择2015年7月至2016年3月超声示胎儿生长受限的120例孕妇为研究对象。根据孕妇自愿原则将其分为对照组和观察组。比较两组新生儿DTI参数各向异性分数、平均弥散系数、垂直弥散系数、平行弥散系数和血清TNF-α、IL-6、IL-8水平。结果 3月后,两组患儿全脑白质各向异性分数显著升高,观察组更明显,而两组新生儿平均弥散系数、垂直弥散系数、平行弥散系数、血清TNF-α、IL-6、IL-8水平均下降,观察组尤甚,差异有统计学意义(P<0.05)。结论 产前牛磺酸能够显著促进生长受限胎儿脑发育,能够促进白质纤维发育及髓鞘化,有效的降低患者血清TNF-α、IL-6及IL-8水平,能够指导临床治疗方案的选择,值得在临床上推广应用。

【 Abstract 】 Objective : To explore the effect on the brain developmental disorders of the growth restriction fetus by prenatal taurine intervention. Methods : 120 cases pregnant women with fetal growth restriction by ultrasound who were treated in our hospital from July 2015 to March 2016 were selected as the research objects, they were divided them into the observation group and the control group according to the . The neonatal DTI parameters of anisotropic scores, the average dispersion coefficient, the vertical dispersion coefficient, the parallel dispersion coefficient and serum TNF-a, IL-6, IL-8 levels of two groups were compared. Results :After 3 months, the whole brain white matter anisotropic score of two groups increased significantly, tbservation group was more obvious(P<0.05).The average dispersion coefficient, the vertical dispersion coefficient, the parallel dispersion coefficient, serum TNF-a, IL - 6, IL - 8 level of two groups newborns decreased, the observation group was more obvious, there was statistically significant difference (P<0.05).Conclusion : Prenatal taurine can significantly promote the growth restriction fetal brain development, it can promote the development of white matter fiber and myelin sheath, effectively reduce the patients' serum TNF-a, IL-6 and IL 8 levels in order to guide the choice of clinical treatment, it is worth popularization and application in clinic.

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