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患有支气管肺发育不良的极低出生体重早产儿的血清硒水平。

Serum selenium levels of the very low birth weight premature newborn infants with bronchopulmonary dysplasia.

作者信息

Peirovifar Ali, Gharehbaghi Manizheh Mostafa, Abdulmohammad-Zadeh Hossein, Sadegi Gholam Hossein, Jouyban Abulghasem

机构信息

Depatrment of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Trace Elem Med Biol. 2013 Oct;27(4):317-21. doi: 10.1016/j.jtemb.2013.03.006. Epub 2013 Apr 28.

Abstract

BACKGROUND

The selenium (Se) is an essential trace element that has a critical role in synthesis and activity of a number of selenoproteins with protective properties against free radical damage. This study was conducted to detect the serum Se concentration in very low birth weight (VLBW) preterm infants and its association with bronchopulmonary dysplasia (BPD).

MATERIALS AND METHODS

Cord blood Se concentration was determined in 54 neonates with gestation age 30 week or less. Another sample was obtained from these infants at day 28 of birth and serum Se levels were measured by atomic absorption spectrophotometer. All neonates were followed for oxygen dependency at 28 day after birth and 36 week postmenstrual age.

RESULTS

The mean cord blood Se concentration in studied neonates was 64.78 ± 20.73 μgL(-1). Serum Se concentration was 60.33 ± 26.62 μgL(-1) at age 28-day. No significant correlation was observed for serum Se concentration at birth and at one month after birth (r = -0.04, p = 0.72). BPD was diagnosed in 25 neonates (46%). The mean serum Se concentration at one month was 57.16 ± 29.68 μgL(-1) in patients with BPD (25 cases) and 63.27 ± 23.6 μgL(-1) in 29 patients without BPD (p = 0.40).

CONCLUSION

In our study, serum Se concentration at 28 day of birth was lower than cord blood levels in preterm neonates, but we have not found significant difference among patients who had BPD or not with respect to serum Se concentrations at this age.

摘要

背景

硒(Se)是一种必需的微量元素,在许多具有抗自由基损伤保护特性的硒蛋白的合成和活性中起着关键作用。本研究旨在检测极低出生体重(VLBW)早产儿的血清硒浓度及其与支气管肺发育不良(BPD)的关系。

材料与方法

测定54例孕周30周及以下新生儿的脐血硒浓度。在这些婴儿出生后第28天采集另一份样本,并用原子吸收分光光度计测量血清硒水平。所有新生儿在出生后28天和月经龄36周时进行氧依赖情况随访。

结果

研究新生儿的脐血硒平均浓度为64.78±20.73μg/L。出生后28天血清硒浓度为60.33±26.62μg/L。出生时和出生后1个月的血清硒浓度之间未观察到显著相关性(r = -0.04,p = 0.72)。25例新生儿(46%)被诊断为BPD。25例BPD患者1个月时的血清硒平均浓度为57.16±29.68μg/L,29例无BPD患者为63.27±23.6μg/L(p = 0.40)。

结论

在我们的研究中,早产儿出生后28天的血清硒浓度低于脐血水平,但在这个年龄段,我们未发现患BPD和未患BPD的患者之间血清硒浓度有显著差异。

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