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促红细胞生成素联合亚低温对新生儿缺氧缺血性脑病氧化应激及神经保护的影响。

Effects of EPO combined with mild hypothermia on oxidative stress and neuroprotection in neonates with hypoxic-ischemic encephalopathy.

机构信息

Department of Pediatrics, Zhongda Hospital Affiliated to Southeast University, 210009, China.

出版信息

Cell Mol Biol (Noisy-le-grand). 2022 Apr 30;68(4):36-45. doi: 10.14715/cmb/2022.68.4.5.

Abstract

After perinatal asphyxia, hypoxic-ischemic encephalopathy (HIE) in term infants produces long-term neurologic sequelae or death. Obtaining a reliable, evidence-based prognosis is critical. Therapeutic hypothermia is a suggested treatment for newborn babies with moderate-to-severe HIE at or near term. However, this treatment is unsuccessful in a significant proportion of newborns. This sparked a worldwide hunt for neuroprotectants that may enhance the effects of mild hypothermia. We look at erythropoietin (EPO) as a possible possibility. This research aimed to see how EPO paired with moderate hypothermia affects oxidative stress and neuroprotection in newborns with HIE. Children with HIE diagnosed and treated at the hospital were first recruited as research participants and split into two groups using a random number system. The control group got mild hypothermia therapy as part of their standard treatment, whereas the EPO group received EPO therapy in addition to mild hypothermia therapy. Statistical analysis techniques such as the Mann-Whitney U test, Chi-squared test, and t-test were used to examine the effects. The data show that the efficacies of combination therapy of mild hypothermia and EPO for infant HIE seem to be promising right now.

摘要

围产期窒息后,足月婴儿的缺氧缺血性脑病(HIE)会导致长期的神经后遗症或死亡。获得可靠的、基于证据的预后是至关重要的。亚低温治疗是中重度足月 HIE 新生儿的一种推荐治疗方法。然而,这种治疗在很大一部分新生儿中并不成功。这引发了全球范围内寻找可能增强轻度低温治疗效果的神经保护剂的热潮。我们研究了促红细胞生成素(EPO)作为一种可能的选择。这项研究旨在观察 EPO 与中度低温联合使用如何影响 HIE 新生儿的氧化应激和神经保护。首先,在医院诊断和治疗的 HIE 患儿被招募为研究对象,并使用随机数系统将他们分为两组。对照组接受轻度低温治疗作为标准治疗的一部分,而 EPO 组则在接受轻度低温治疗的同时接受 EPO 治疗。采用 Mann-Whitney U 检验、卡方检验和 t 检验等统计分析技术来评估效果。数据表明,目前轻度低温和 EPO 联合治疗婴儿 HIE 的疗效似乎很有前途。

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