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窒息新生儿与正常新生儿血清镁水平的比较。

Comparison between serum magnesium levels of asphyxiated neonates and normal cases.

作者信息

Khalessi Nasrin, Mazouri Ali, Bassirnia Mandana, Afsharkhas Ladan

机构信息

Ali-Asghar Children's Hospital, Iran University of Medical Science, Tehran, Iran.

出版信息

Med J Islam Repub Iran. 2017 Mar 9;31:19. doi: 10.18869/mjiri.31.19. eCollection 2017.

Abstract

Asphyxia is one the most important causes of neonatal mortality and morbidity. It is suggested that magnesium may have a protective role against cellular damage during hypoxic brain insult, or change effect post-asphyxia consequences. Our study was performed for comparison of serum magnesium in neonates with and without asphyxia. This study was done in Neonatal Ward of Ali-Asghar hospital, from January 2010 to 2011 in Tehran, Iran. Serum magnesium levels of seventy-six cases with a diagnosis of asphyxia grade 2 were compared with 76 normal newborns. Collected data including gestational age, sex, birth weight and serum magnesium levels were analyzed by SPSS software. Of 152 neonates, 81 (53.3%) were male. Mean gestational age was 37.9 ± 1.07 weeks. Mean birth weights were 3172.9± 411.20 grams. Mean serum magnesium levels were compared in asphyxiated and normal neonates and between two groups significant difference was found (p=0.01). The odds ratio was 2.188 (with lower1.826, upper 2.626 and confidence interval 95 percent) which suggested a significant correlation between asphyxia and hypomagnesemia. This study showed that serum magnesium levels in neonates with asphyxia was significantly lower than normal neonates and asphyxia can lead to hypomagnesemia.

摘要

窒息是新生儿死亡和发病的最重要原因之一。有人认为,镁可能在缺氧性脑损伤期间对细胞损伤具有保护作用,或改变窒息后后果的影响。我们的研究旨在比较窒息和未窒息新生儿的血清镁水平。本研究于2010年1月至2011年在伊朗德黑兰的阿里 - 阿斯加尔医院新生儿病房进行。将76例诊断为2级窒息的病例的血清镁水平与76例正常新生儿进行比较。收集的数据包括胎龄、性别、出生体重和血清镁水平,通过SPSS软件进行分析。在152例新生儿中,81例(53.3%)为男性。平均胎龄为37.9±1.07周。平均出生体重为3172.9±411.20克。比较了窒息新生儿和正常新生儿的平均血清镁水平,发现两组之间存在显著差异(p = 0.01)。优势比为2.188(下限1.826,上限2.626,95%置信区间),这表明窒息与低镁血症之间存在显著相关性。本研究表明,窒息新生儿的血清镁水平显著低于正常新生儿,窒息可导致低镁血症。

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