CAJ | 학술논문

目的分析新生儿脐血胃促生长素(ghrelin)水平的影响因素,探讨胃促生长素在胎儿生长发育中的作用.方法采用放射免疫法测定100例新生儿脐血胃促生长素水平,分析其与胎龄、性别、分娩方式、出生体重、身长、头围和胎盘重量的关系.结果脐血胃促生长素浓度为606.2(488.4～914.4)pg/ml[中位数(P25～P75)],不同性别、分娩方式间胃促生长素水平差异无统计学意义(P>0.05).不同胎龄、不同出生体重新生儿脐血胃促生长素水平差异有统计学意义(P<0.05).足月小于胎龄儿脐血胃促生长素水平[1211.7(668.8～1690.5)pg/ml]明显高于足月适于胎龄)L[750.4(534.2～1030.0)pg/ml]及大于胎龄)LEs20.6(439.9～773.4)pg/ml],差异有统计学意义(P<0.05).胎龄和出生体莺是脐血胃促生长素水平的影响因素.结论脐血胃促生长素浓度可能随胎龄的增长而增加,其水平受出生体重的负反馈调节,可能是对胎儿宫内生长发育营养环境作出的适应性反应.
목적 분석신생인제혈위촉생장소(ghrelin)수평적영향인소,탐토위촉생장소재태인생장발육중적작용.방법 채용방사면역법측정100례신생인제혈위촉생장소수평,분석기여태령、성별、분면방식、출생체중、신장、두위화태반중량적관계.결과 제혈위촉생장소농도위606.2(488.4～914.4)pg/ml[중위수(P25～P75)],불동성별、분면방식간위촉생장소수평차이무통계학의의(P>0.05).불동태령、불동출생체중신생인제혈위촉생장소수평차이유통계학의의(P<0.05).족월소우태령인제혈위촉생장소수평[1211.7(668.8～1690.5)pg/ml]명현고우족월괄우태령)L[750.4(534.2～1030.0)pg/ml]급대우태령)LEs20.6(439.9～773.4)pg/ml],차이유통계학의의(P<0.05).태령화출생체앵시제혈위촉생장소수평적영향인소.결론 제혈위촉생장소농도가능수태령적증장이증가,기수평수출생체중적부반궤조절,가능시대태인궁내생장발육영양배경작출적괄응성반응.
Objective To investigate the influencing factors of ghrelin concentration in cord blood and assess the role of ghrelin in fetal growth. Methods Plasma ghrelin concentrations were measured in cord blood of 100 neonates. The relationship between ghrelin and gestational age, gender, delivery mode, birth weight, body length, head circumference and placental weight were analyzed. Results The concentration of plasma ghrelin in cord blood of all 100 neonates was 606.2 (488. 4-914. 4) pg/ml [median (P25-P65]. There was no statistical difference between male and female infants or between neonates underwent cesarean section and vaginal delivery(P>0. 05). Cord blood ghrelin levels were different in different gestational age and birth weight neonates (P < 0.05). Its concentrations were higher in term small for gestational age neonates [1211.7(668. 8-1690. 5) pg/ml] than in term average for gestational age newborns [750. 4(534. 2-1030. 0) pg/ml] and large for gestational age newborns [520. 6(439. 9-773.4) pg/ml] (P<0. 05). Gestational age and birth weight were significant determinants of ghrelin concentrations(β=0. 808,P=0. 000;β=-0. 469, P=0. 020). Conclusions Cord ghrelin concentrations increases with advancing gestational age, but are down-regulated by fetal weight. Ghrelin may play a physiological role in fetal adaptation to intrauterine nutritional environment.