Iu G Reznichenko, G I Reznichenko, B M Ventskovskyĭ
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引用次数: 0
摘要
本文对172例新生儿血清和外周血中前列腺素(Pg) E、F2、6-酮- f1 α、血栓素B2的含量进行了检测。38例新生儿在产前出现慢性缺氧,42例在分娩过程中出现急性缺氧,39例分娩过程中急性缺氧是在慢性宫内缺氧的背景下发生的。对照组包括53名在产前和产期内未遭受缺氧的婴儿。对照组在新生儿早期动态中观察到PgE、PgE2 α浓度降低,6-酮PgF1 α、TxB2升高。慢性缺氧和急性缺氧患儿的PgE水平均高于对照组。急性缺氧组PgE浓度与对照组无明显差异。慢性缺氧患儿PgF2含量降低,急性缺氧患儿PgF2含量升高。慢性背景下,慢性缺氧和急性缺氧时PgF α 1水平降低。血栓素B2浓度在各缺氧类型均升高。6酮PgF1 α /TxB2比值下降在所有缺氧类型的婴儿中变化最为明显。在伴有联合性缺氧的婴儿中,偏差最大。对照组产后前列腺素变化的动态与应激反应过程在其他刺激作用下的动态相似。它证实了前列腺素系统对压力的反应有共同的机制。(摘要删节250字)
[Prostaglandins content in the blood of newborns with various types of hypoxia].
The content of prostaglandins (Pg) E, F2, 6-keto-F1 alpha, thromboxane B2 has been examined in funic blood serum and peripheral blood of 172 newborns. 38 neonates endured chronic hypoxia in the antenatal period, 42 had acute hypoxia during labour and in 39 acute hypoxia during labour developed against a background of chronic intrauterine hypoxia. The control group consisted of 53 infants that were not subjected to hypoxia during antenatal and intranatal periods. In control group in the dynamics of early neonatal period a decrease of PgE, PgE2 alpha concentration and an increase of 6-keto PgF1 alpha, TxB2 were observed. The PgE level was determined to be higher in infants with chronic hypoxia and acute hypoxia than that in the control group. In acute hypoxia the PgE concentration did not differ from that in the control group. PgF2 content was decreased in infants with chronic hypoxia and increased with acute one. The PgF alpha 1 level was noticed to decrease in chronic hypoxia and acute hypoxia against the chronic background. Thromboxane B2 concentration was increased in all the types of hypoxia. The 6 keto PgF1 alpha/TxB2 ratio decreasing in infants with all the types of hypoxia underwent the most pronounced changes. The largest deviations were marked in infants with associative hypoxia. The revealed dynamics of prostaglandin changes in the postnatal period in the control group is similar to the dynamics that reflects the course of stress-reaction under the influence of other stimuli. It permits affirming that there are common mechanisms of the prostaglandin system response to stress.(ABSTRACT TRUNCATED AT 250 WORDS)