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母乳储存和冷冻程序对白细胞介素-10水平及总抗氧化活性的影响。

The effects of breast milk storage and freezing procedure on interleukine-10 levels and total antioxidant activity.

作者信息

Aksu Tekin, Atalay Yıldız, Türkyılmaz Canan, Gülbahar Özlem, Hirfanoğlu Ibrahim M, Demirel Nihal, Önal Esra, Ergenekon Ebru, Koç Esin

出版信息

J Matern Fetal Neonatal Med. 2015;28(15):1799-802. doi: 10.3109/14767058.2014.968844.

Abstract

OBJECTIVE

To compare interleukine-10 (IL-10) and total antioxidant capacity (TAC) levels after breast milk storage by studying premature and term mothers’ colostrum and mature milk and by analyzing those levels relative to gestational week.

METHODS

Fifty-four colostrum and mature breast milk samples were collected from both premature and term mothers. The samples were divided into three groups based on the time of analysis: fresh milk, at +4 °C for 72 h, and at -20 °C for 14 d. The IL-10 and TAC levels were measured quantitatively.

RESULTS

Fresh colostrum and mature milk had similar IL-10 levels. Term mothers’ fresh-colostrum TAC levels were higher than their mature milk. The mature milk of the premature mothers’ had higher TAC levels than that of term mothers. Storage did not affect the IL-10 levels of breast milk, but fresh milk antioxidant capacity halved after 72 h and 14 d. Colostrum IL-10 and TAC levels did not correlate with gestational week. Mature milk IL-10 levels did not correlate with gestational week, but TAC levels negatively correlated with gestational week (r: -0.61: p < 0.01).

CONCLUSIONS

The milk stored for 72 h at +4 °C and for 14 d at -20 °C did not maintain the same TAC levels as the fresh samples. This should be considered especially for sick infants who need more antioxidant capability in neonatal units.

摘要

目的

通过研究早产和足月母亲的初乳及成熟乳,并分析这些水平与孕周的关系,比较母乳储存后的白细胞介素-10(IL-10)和总抗氧化能力(TAC)水平。

方法

从早产和足月母亲中收集54份初乳和成熟母乳样本。根据分析时间将样本分为三组:新鲜母乳、4℃保存72小时的母乳和-20℃保存14天的母乳。对IL-10和TAC水平进行定量测量。

结果

新鲜初乳和成熟乳的IL-10水平相似。足月母亲新鲜初乳的TAC水平高于其成熟乳。早产母亲的成熟乳TAC水平高于足月母亲。储存不影响母乳的IL-10水平,但新鲜母乳的抗氧化能力在72小时和14天后减半。初乳的IL-10和TAC水平与孕周无关。成熟乳的IL-10水平与孕周无关,但TAC水平与孕周呈负相关(r:-0.61;p<0.01)。

结论

在4℃保存72小时和在-20℃保存14天的母乳不能维持与新鲜样本相同的TAC水平。对于新生儿病房中需要更多抗氧化能力的患病婴儿,尤其应考虑这一点。

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