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新生儿葡萄糖-6-磷酸脱氢酶缺乏症筛查。

Neonatal screening for glucose-6-phosphate dehydrogenase deficiency.

作者信息

Pao Mritunjay, Kulkarni Anjali, Gupta Vidya, Kaul Sushma, Balan Saroja

机构信息

Division of Neonatology, Apollo Center for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, India.

出版信息

Indian J Pediatr. 2005 Oct;72(10):835-7. doi: 10.1007/BF02731109.

Abstract

OBJECTIVE

This study was carried out to detect the incidence of erythrocytic Glucose-6 -Phosphate dehydrogenase (G-6-PD) deficiency, to compare the incidence of hyperbilirubinemia in G-6-PD deficient neonates as compared to G-6-PD normal neonates and to asses the usefulness of neonatal screening for G-6-PD deficiency.

METHOD

In a retrospective hospital based study 2,479 male and female neonates consecutively born at Indraprastha Apollo hospital between July 1998 to June 2003 who were screened for G-6-PD levels were evaluated for the incidence of G-6-PD deficiency.

RESULTS

Incidence of G-6-PD deficiency was found to be 2.0%. Incidence in males was 283% and female was 1.05%. The incidence of hyperbilirubinemia was found to be 32% in G-6-PD deficient neonates which was significantly higher than the incidence of hyperbilirubinemia in neonates with normal G-6-PD, which was 12.3% (P< 0.001).

CONCLUSION

Our data suggests that neonatal screening for G-6-PD deficiency is a useful test for preventing and early treatment of complications associated with it.

摘要

目的

本研究旨在检测红细胞葡萄糖-6-磷酸脱氢酶(G-6-PD)缺乏症的发病率,比较G-6-PD缺乏的新生儿与G-6-PD正常的新生儿高胆红素血症的发病率,并评估新生儿G-6-PD缺乏症筛查的实用性。

方法

在一项基于医院的回顾性研究中,对1998年7月至2003年6月期间在英迪拉普拉萨阿波罗医院连续出生并接受G-6-PD水平筛查的2479例男、女新生儿进行G-6-PD缺乏症发病率评估。

结果

发现G-6-PD缺乏症的发病率为2.0%。男性发病率为2.83%,女性为1.05%。G-6-PD缺乏的新生儿中高胆红素血症的发病率为32%,显著高于G-6-PD正常的新生儿,后者为12.3%(P<0.001)。

结论

我们的数据表明,新生儿G-6-PD缺乏症筛查是预防和早期治疗与之相关并发症的一项有用检测。

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