摘要
目的:探讨心肌酶检测在宫内窘迫新生儿心肌损伤中的临床价值。方法:选取宫内窘迫54例、窒息48例、宫内窘迫合并窒息45例以及正常新生儿50例,分别设为A、B、C、D组。所有患儿均于出生后24h内抽取2ml股静脉血,分别测定乳酸脱氢酶(LDH)、α-羟丁酸脱氢酶(HBDH)、肌酸激酶(CK)以及肌酸激酶同工酶(CK-MB)的血清心肌酶谱。结果:与正常对照组D组相比,A、B、C3组患儿LDH、HBDH、CK以及CK-MB均明显增高(P<0.05);A、B、C3组之间两两比较,心肌酶谱各项差异不明显(P>0.05)。结论:宫内窘迫新生儿可通过检测心肌酶诊断心肌损伤,为临床及时给予营养心肌,改善心功能治疗提供参考。
Objective：To investigate the clinical value of enzyme detection in fetal distress neonatal myocardial injury.Methods：54 cases of fetal distress,asphyxia in 48 cases,45 cases of fetal distress and asphyxia combined,50 cases normal newborns were set to A,B,C,D groups.All patients were taken 2 ml femoral vein within 24 h after birth.Lactate dehydrogenase（LDH）,α-hydroxybutyrate dehydrogenase（HBDH）,creatine kinase（CK） and creatine kinase（CK-MB） in serum myocardial enzymes were measured.Results：Compared with normal control group D,A,B,C three groups of children with LDH,HBDH,CK and CK-MB were significantly higher（P〈0.05）;The myocardial enzyme of A,B,C pairwise comparisons among the three groups had no significant difference（P〉0.05）.Conclusion：Neonatal distress can be diagnosed by detecting the enzyme myocardial injury in clinical nutrition promptly myocardium,improve cardiac function treatment of reference.
出处
《中国当代医药》
2011年第26期79-80,共2页
China Modern Medicine
