Su Wei, Li Yanjun, Wang Yuebin, Li Lixiang, Yan Jianhui
Department of Paediatrics, Affiliated Hospital of Xiangnan University (Clinical College), China.
Department of Orthopedic Trauma, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, China.
J Coll Physicians Surg Pak. 2021 Feb;31(2):238-239. doi: 10.29271/jcpsp.2021.02.238.
Correlation was sought between serum intestinal fatty acid binding protein (I-FABP), blood routine examination indexes, and necrotizing enterocolitis (NEC) disease classification. According to Bell-NEC grade, 86 children with NEC were divided into mild group (46 cases) and severe group (40 cases). Serum I-FBAP and blood routine indices including white blood cells (WBC), platelets (PLT), neutrophils and lymphocytes were determined. Serum levels of I-FABP and WBC in severe group were higher than those in mild group (both p <0.001), and serum level of PLT was lower than that in mild group (p <0.001). NEC grade was positively correlated with I-FABP and WBC (r=0. 930, p <0.001; r=0. 946, p <0.001), negatively correlated with PLT (r=-0. 602, p <0.001), and had weak correlation with neutrophils and lymphocytes (r=0. 186, p=0. 087; r=0. 072, p=0. 509). In conclusion, serum levels of I-FABP, WBC and PLT were correlated with the severity of NEC in children, which could be used as a reference index to judge prognosis of NEC children. Key Words: Necrotizing enterocolitis of newborn (NEC), Serum, Intestinal fatty acid binding protein (I-FABP), Routine blood indices.
研究血清肠脂肪酸结合蛋白(I-FABP)、血常规检查指标与坏死性小肠结肠炎(NEC)疾病分级之间的相关性。根据贝尔NEC分级,将86例NEC患儿分为轻症组(46例)和重症组(40例)。测定血清I-FBAP以及血常规指标,包括白细胞(WBC)、血小板(PLT)、中性粒细胞和淋巴细胞。重症组血清I-FABP和WBC水平高于轻症组(均p<0.001),血清PLT水平低于轻症组(p<0.001)。NEC分级与I-FABP和WBC呈正相关(r=0.930,p<0.001;r=0.946,p<0.001),与PLT呈负相关(r=-0.602,p<0.001),与中性粒细胞和淋巴细胞呈弱相关(r=0.186,p=0.087;r=0.072,p=0.509)。综上所述,血清I-FABP、WBC和PLT水平与儿童NEC的严重程度相关,可作为判断NEC患儿预后的参考指标。关键词:新生儿坏死性小肠结肠炎(NEC);血清;肠脂肪酸结合蛋白(I-FABP);血常规指标