Li S Y, Geng Z C, Wang A Z, Gao Y L, Li M, Wang H D, Wang W Y
Pediatric Department Qianfoshan Hospital.
Chin Med J (Engl). 1994 Jul;107(7):533-5.
Physiological diarrhea of baby during the period of breastfeeding often occurs. To investigate the relationship between mother's milk and the physiological diarrhea of baby, we measured the PGE2 levels in milk of 320 lactating women within 4 months of postpartum with radioimmunoassay and the mean value of PGE2 level was 216.8 +/- 145.2 ng/L. The PGE2 levels in mother's milk in the group with diarrhea were 286.5 +/- 142.2 ng/L, that of control group 130.4 +/- 76.3 ng/L. The difference was obviously significant (P < 0.001). The physiological diarrhea of baby was positively related to the PGE2 level in mother's milk (r = 0.75, P < 0.01) i.e., the high PGE2 level in mother's milk may be an important cause of diseases. The observation on 102 cases of baby with severe physiological diarrhea showed a higher level of PGE2 in the mother's milk. 52 cases of lactating women in the treated group were given indomethacin, and after treatment the PGE2 level in mother's milk decreased obviously, and the diarrhea of baby disappeared. The effective rate was 96.15%. No side effects were found in both mother and baby.
母乳喂养期间婴儿生理性腹泻较为常见。为探讨母乳与婴儿生理性腹泻的关系,我们采用放射免疫法检测了320名产后4个月内哺乳期妇女乳汁中的前列腺素E2(PGE2)水平,其平均值为216.8±145.2 ng/L。腹泻组母乳中PGE2水平为286.5±142.2 ng/L,对照组为130.4±76.3 ng/L。差异具有显著统计学意义(P<0.001)。婴儿生理性腹泻与母乳中PGE2水平呈正相关(r = 0.75,P<0.01),即母乳中PGE2水平升高可能是导致该病的重要原因。对102例重度生理性腹泻婴儿的观察显示,其母亲乳汁中PGE2水平较高。治疗组52例哺乳期妇女给予吲哚美辛治疗,治疗后母乳中PGE2水平明显下降,婴儿腹泻消失。有效率为96.15%。母婴均未发现副作用。