Andersen G E, Friis-Hansen B
Acta Paediatr Scand. 1976 May;65(3):369-74. doi: 10.1111/j.1651-2227.1976.tb04899.x.
The 95th percentile value of cord serum triglyceride concentration in 82 consecutively live born infants was found to be 0.79 mmol/l. This level was arbitrarily used to define neonatal hypertriglyceridemia. A comparison between 78 normotriglyceridemic and 61 hypertriglyceridemic newborn infants showed a significant association between elevated cord serum triglyceride concentration and insufficiency of the placenta, fetal bradycardia, meconium-stained amniotic fluid and one-minute Apgar score less than or equal to 7. A significantly (p less than 0.001) greater number of infants with one or several of these four factors, indicating antepartum and/or intrapartum fetal stress were found to be hypertriglyceridemic at birth. This finding suggests that estimation of cord serum triglyceride which is easy and inexpensive might be of value for a more complete evaluation of the newborn infant, and can serve as a supplement to the Apgar Score system.
在82例连续活产婴儿中，脐血甘油三酯浓度的第95百分位数为0.79 mmol/l。该水平被随意用来定义新生儿高甘油三酯血症。对78例正常甘油三酯血症新生儿和61例高甘油三酯血症新生儿进行比较，结果显示脐血甘油三酯浓度升高与胎盘功能不全、胎儿心动过缓、羊水胎粪污染以及1分钟阿氏评分小于或等于7之间存在显著关联。发现有这四个因素中的一个或几个（表明产前和/或产时胎儿应激）的婴儿在出生时高甘油三酯血症的比例显著更高（p<0.001）。这一发现表明，脐血甘油三酯的测定简便且廉价，可能有助于对新生儿进行更全面的评估，可作为阿氏评分系统的补充。
