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血清甲胎蛋白、白介素-6与新生儿黄疸严重程度及肝功能的关系研究OA

The relationship between serum alpha-fetoprotein,interleukin-6 and neonatal jaundice severity and liver function

中文摘要英文摘要

目的:探讨血清甲胎蛋白(AFP)、白介素-6(IL-6)与新生儿黄疸严重程度及肝功能的关系.方法:选择本院 2019 年 4 月至2023 年 4 月收治的 125 例新生儿黄疸患儿作为观察组,根据病情严重程度,分为轻度组、中度组和重度组;另选 40 例正常新生儿作为对照组.比较观察组与对照组、轻度组、中度组与重度组的血清AFP、IL-6 指标水平,使用Pearson相关性分析新生儿黄疸患儿血清AFP、IL-6 与总胆红素(TBIL)、直接胆红素(DBIL)、间接胆红素(IBIL)、及肝功能指标[谷丙转氨酶(ALT)、谷草转氨酶(AST)]的关系.结果:观察组血清AFP、IL-6 水平均高于对照组,差异均有统计学意义(P<0.05);轻度组、中度组与重度组的血清AFP、IL-6 水平组间对比差异有统计学意义(P<0.05),随着新生儿黄疸严重程度增大,血清AFP、IL-6 水平随之升高;轻度组、中度组与重度组的血清TBIL、DBIL、IBIL水平组间对比差异有统计学意义(P<0.05);轻度组、中度组与重度组的血清ALT、AST水平组间对比差异有统计学意义(P<0.05);经Pearson相关性分析,新生儿黄疸患儿血清中的AFP、IL-6 水平与TBIL、DBIL、IBIL、ALT、AST水平均呈正相关(P<0.05).结论:新生儿黄疸患儿血清中AFP、IL-6 均呈异常表达,两者与患儿病情严重程度及肝功能密切相关,值得临床予以重视.

Objective:To investigate the relationship between serum alpha-fetoprotein(AFP)and interleukin-6(IL-6)and the se-verity of neonatal jaundice and liver function.Methods:125 cases of neonatal jaundice in our hospital from April 2019 to April 2023 were selected as the observation group.According to the severity,they were divided into mild group,moderate group and severe group.40 normal neonates were selected as control group.Serum AFP,IL-6 in observation group and control group,mild group,moderate group and severe group were compared.Pearson correlation was used to analyze the relationship between serum AFP,IL-6 and total bilirubin(TBIL),direct bilirubin(DBIL),indirect bilirubin(IBIL),and liver function indexes[alanine aminotransferase(ALT),aspartate aminotransferase(AST)]in neonatal jaundice children.Results:The levels of serum AFP and IL-6 in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Serum AFP and IL-6 levels were significantly different in mild group,moderate group and severe group(P<0.05).With the increase of neonatal jaundice severity,serum AFP and IL-6 levels increased.Serum TBIL,DBIL and IBIL levels were signifi-cantly different in mild,moderate and severe groups(P<0.05).There were significant differences in serum ALT and AST lev-els among mild,moderate and severe groups(P<0.05).According to Pearson correlation analysis,serum AFP and IL-6 levels were positively correlated with the levels of TBIL,DBIL,IBIL,ALT and AST in neonatal jaundice children(P<0.05).Con-clusion:The abnormal expression of AFP and IL-6 in the serum of neonataljaundice children is closely related to the severity of the disease and liver function,which is worthy of clinical intervention in the above aspects.

屈慧;杨帅

内蒙古巴彦淖尔市临河区人民医院检验科,内蒙古 巴彦淖尔 015000内蒙古扎兰屯职业学院医学系,内蒙古 扎兰屯 162650

临床医学

新生儿黄疸甲胎蛋白白介素-6肝功能

NewbornJaundiceAlpha-FetoproteinInterleukin-6Function of liver

《中外女性健康研究》 2024 (006)

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