足月新生儿窒息后皮质醇的动态变化
Medical Research and Education(2013)
Abstract
目的以足月儿血清皮质醇水平作为监测指标,观察不同窒息程度对皮质醇水平变化的影响。方法选择足月儿共90例,其中轻度窒息组28例,重度窒息组32例,对照组为无窒息儿30例。于生后24h内及生后1周时各采静脉血2mL测定血清皮质醇水平。结果(1)足月儿轻度窒息与重度窒息的皮质醇水平在出生后24h内及1周时差异均有统计学意义。(2)足月儿轻度窒息与对照组的皮质醇水平在出生后24h内差异有统计学意义,1周时差异无统计学意义。(3)足月儿重度窒息与对照组的皮质醇水平在出生后24h内及1周时差异均有统计学意义。结论足月新生儿已有完善的肾上腺皮质功能,皮质醇水平与窒息程度相关。
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Key words
cortisol,full term infants,aphyxia
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