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[早产以及经阴道和剖宫产分娩的足月新生儿体内的β-内啡肽]

[Beta-endorphin in premature labor and in mature newborn infants following vaginal and abdominal delivery].

作者信息

Distler W, Schwenzer T, Umbach G, Graf M

机构信息

Universitäts-Frauenklinik Düsseldorf.

出版信息

Geburtshilfe Frauenheilkd. 1988 Mar;48(3):140-2. doi: 10.1055/s-2008-1035712.

DOI:10.1055/s-2008-1035712
PMID:2967219
Abstract

Umbilical venous plasma concentrations of beta-endorphin in 20 premature and 30 mature newborn infants after vaginal delivery or elective caesarean section were determined by specific RIA. In the premature infants the beta-endorphin levels after vaginal and abdominal delivery were significantly higher than in mature newborns. Our data indicate that for premature infants the delivery is more stressful and therefore most likely the release of beta-endorphin from the pituitary is more pronounced. Since high opioid levels can cause respiratory and circulatory difficulties, premature infants are exposed to risk of these problems.

摘要

采用特异性放射免疫分析法测定了20例早产儿和30例足月儿经阴道分娩或择期剖宫产术后脐静脉血浆β-内啡肽浓度。早产儿经阴道分娩和剖宫产术后的β-内啡肽水平显著高于足月儿。我们的数据表明,对于早产儿来说,分娩压力更大,因此垂体释放β-内啡肽的情况很可能更明显。由于高阿片类物质水平会导致呼吸和循环困难,早产儿面临这些问题的风险。

相似文献

1
[Beta-endorphin in premature labor and in mature newborn infants following vaginal and abdominal delivery].[早产以及经阴道和剖宫产分娩的足月新生儿体内的β-内啡肽]
Geburtshilfe Frauenheilkd. 1988 Mar;48(3):140-2. doi: 10.1055/s-2008-1035712.
2
Fetomaternal opioid levels and parturition.胎儿与母体的阿片类物质水平及分娩
Obstet Gynecol. 1983 Dec;62(6):764-8.
3
Beta-endorphin in maternal and umbilical cord plasma at elective cesarean section and in spontaneous labor.择期剖宫产及自然分娩时母血和脐血血浆中的β-内啡肽
Obstet Gynecol. 1986 Mar;67(3):384-7.
4
[Effect of mode of delivery on early morbidity and mortality of premature infants (< or = 34th week of pregnancy)].分娩方式对早产(孕周≤34周)婴儿早期发病率和死亡率的影响
Z Geburtshilfe Neonatol. 1998 Jan-Feb;202(1):19-24.
5
[The opioid peptide, beta-endorphin, in spontaneous vaginal delivery and cesarean section].[阿片肽β-内啡肽在自然阴道分娩和剖宫产中的作用]
Srp Arh Celok Lek. 1991 Sep-Oct;119(9-10):271-4.
6
[Mortality and morbidity of small premature infants (<1,500 g) in relation to presentation and delivery mode].[小于1500克的早产低体重儿的死亡率和发病率与分娩表现及分娩方式的关系]
Z Geburtshilfe Neonatol. 1996 Mar-Apr;200(2):50-5.
7
Plasma beta-endorphin in perinatal asphyxia and respiratory difficulties in newborn infants.围产期窒息与新生儿呼吸困难中的血浆β-内啡肽
Pediatr Res. 1986 Jun;20(6):577-80. doi: 10.1203/00006450-198606000-00022.
8
[Significance of uterine contractions for adaptation of the newborn infant before cesarean section].[剖宫产术前子宫收缩对新生儿适应的意义]
Z Geburtshilfe Neonatol. 2000 Jul-Aug;204(4):146-52. doi: 10.1055/s-2000-10212.
9
Elective delivery and the neonatal respiratory distress syndrome.择期分娩与新生儿呼吸窘迫综合征
Can Med Assoc J. 1980 Feb 9;122(3):307-9.
10
Response to delivery stress is not mediated by beta-endorphin (1-31).对分娩应激的反应并非由β-内啡肽(1-31)介导。
Eur J Obstet Gynecol Reprod Biol. 2008 Jan;136(1):39-45. doi: 10.1016/j.ejogrb.2007.02.004. Epub 2007 Mar 26.

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