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微量元素对早产儿视网膜病变的影响。

Effect of trace elements on retinopathy of prematurity.

作者信息

Yang Hong, Ding Yi, Chen Ling

机构信息

Department of Ophthalmology, Huazhong University of Science and Technology, Wuhan, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2007 Oct;27(5):590-2. doi: 10.1007/s11596-007-0529-8.

Abstract

The effect of the trace elements on retinopathy of prematurity (ROP) were studied. Thirty preterm infants who had potential high risk factors of ROP were selected as observation group and 18 normal infants as control groups. By using atom spectrophotometer, the contents of serum trace elements (Mg, Cu, Zn, Mn, Se) were measured and analyzed statistically. The contents of serum Zn, Cu and Se in observation group were 0.75+/-0.22, 0.41+/-0.20 and (134.07+/-71.57)x10(-3) mg/L respectively, and 0.55+/-0.12, 0.65+/-0.194 and (202.92+/-44.71)x10(-3) mg/L in control group respectively (P<0.01). The contents of Cu and Se were obviously lower and that of Zn higher in observation group than those in control group. The same results were obtained between the infants with ROP and controls (P<0.01). However, there was no significant difference in the contents of serum Mg and Mn between two groups (P>0.05). It was concluded that the contents of serum Cu and Se in preterm infants who had high risk factors of ROP were obviously lower than in the controls. The contents of serum Cu and Se in the ROP infants were also much lower while contents of Zn much higher. Attention should be paid to the detection of the trace elements in preterm infants in order to prevent the deficiencies of Cu and Se. Only in this way can we prevent the deficiencies of Cu and Se, so as to decrease the ROP risk factors and prevent the disease.

摘要

研究了微量元素对早产儿视网膜病变(ROP)的影响。选取30例有ROP潜在高危因素的早产儿作为观察组,18例正常婴儿作为对照组。采用原子分光光度计测定血清微量元素(镁、铜、锌、锰、硒)含量并进行统计学分析。观察组血清锌、铜、硒含量分别为(0.75±0.22)、(0.41±0.20)、(134.07±71.57)×10⁻³mg/L,对照组分别为(0.55±0.12)、(0.65±0.194)、(202.92±44.71)×10⁻³mg/L(P<0.01)。观察组铜和硒含量明显低于对照组,锌含量高于对照组。ROP患儿与对照组比较结果相同(P<0.01)。然而,两组血清镁和锰含量差异无统计学意义(P>0.05)。结论:有ROP高危因素的早产儿血清铜和硒含量明显低于对照组。ROP患儿血清铜和硒含量也低得多,而锌含量高得多。应重视对早产儿微量元素的检测,以预防铜和硒缺乏。只有这样才能预防铜和硒缺乏,从而降低ROP危险因素,预防该病。

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