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接受补充配方奶喂养的新生儿的血浆胃泌素和生长抑素水平

Plasma gastrin and somatostatin levels in newborn infants receiving supplementary formula feeding.

作者信息

Marchini G, Simoni M R, Bartolini F, Uvnäs-Moberg K

机构信息

Department of Paediatrics, KS-St Göran, Karolinska Hospital, Stockholm, Sweden.

出版信息

Acta Paediatr. 1994 Apr;83(4):374-7. doi: 10.1111/j.1651-2227.1994.tb18122.x.

Abstract

Plasma gastrin and somatostatin concentrations were measured by radioimmunoassay in exclusively formula-fed infants and in breast-fed infants receiving supplementary formula during the first five postnatal days. Infants exclusively formula fed had a progressive increase in mean plasma gastrin concentration from 109 +/- 42 pmol/l (mean +/- SD) on the first day to 236 +/- 103 pmol/l on the fifth day after birth (p = 0.0001). Breast-fed infants receiving supplementary formula had similar hormone concentrations as formula-fed infants of corresponding postnatal age and they also had a significant increase in hormone levels from the first to the fifth day (p = 0.0001). A positive relationship was found between gastrin concentration and ingested milk volume: Rs = 0.51, n = 105, p = 0.0001. The high gastrin concentrations most probably reflect enhanced hormonal release from the gastrin-producing cells in response to increasing volumes of milk ingested by the infant. The mean plasma somatostatin concentration on the first day after birth was 18 +/- 6 pmol/l. No significant change occurred during the first five postnatal days, independent of feeding type.

摘要

采用放射免疫分析法测定了纯配方奶喂养婴儿以及出生后前五天接受补充配方奶的母乳喂养婴儿的血浆胃泌素和生长抑素浓度。纯配方奶喂养的婴儿,其平均血浆胃泌素浓度从出生第一天的109±42 pmol/L(平均值±标准差)逐渐升高至出生后第五天的236±103 pmol/L(p = 0.0001)。接受补充配方奶的母乳喂养婴儿,其激素浓度与相应出生年龄的配方奶喂养婴儿相似,且从第一天到第五天激素水平也有显著升高(p = 0.0001)。胃泌素浓度与摄入奶量之间存在正相关关系:Rs = 0.51,n = 105,p = 0.0001。高胃泌素浓度很可能反映了胃泌素产生细胞对婴儿摄入奶量增加的反应增强,导致激素释放增加。出生后第一天的平均血浆生长抑素浓度为18±6 pmol/L。出生后前五天内未发生显著变化,与喂养类型无关。

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