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Clinical efficacy of gangliosides on premature infants suffering from white matter damage and its effect on the levels of IL-6 NSE and S100β

机译:神经节苷脂对早产儿白质损害的临床疗效及其对IL-6NSE和S100β水平的影响

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摘要

This study investigated the clinical efficacy of gangliosides on premature infants suffering from white matter damage and its effect on the levels of IL-6, neuron-specific enolase (NSE) and S100β. Seventy-six cases of premature infants suffering from white matter damage admitted to the Tianjin Central Hospital of Obstetrics and Gynecology from February 2016 to March 2017 were enrolled in this study. They were randomly divided into the control group and the observation group with 38 cases in each group. Control group was given conventional treatment, while the observation group was given ganglioside treatment on the basis of the treatment given to the control group. Craniocerebrum ultrasonic detection was used to observe the condition of white matter around the ventricle of child patients in the two groups, before and after treatment. ELISA was used to detect the levels of IL-6, NSE and S100β. Gesell developmental scale was used to compare the developmental quotient (DQ) of various function regions of the children. The total effective rate of the observation group was higher than that of the control group (P<0.05). The gray value of craniocerebrum ultrasonic detection in the observation group was significantly lower than that in the control group (P<0.05). IL-6, S100β and NSE levels of the child patients in the two groups were significantly declined at 7 and 14 days after birth (P<0.05). After 1 year, the observation group scored significantly higher DQ than the control group in the aspects of social adaptation, gross motor, fine motor, language and personal social contact. The sequel incidence of patients in the observation group was significantly lower than that of the control group (P<0.05). In conclusion, the intervention treatment with ganglioside for premature infants suffering from white matter damage was beneficial and provided a protective effect. It also reduced sequel and produced some promising results.
机译:这项研究调查了神经节苷脂对遭受白质损害的早产儿的临床疗效及其对IL-6,神经元特异性烯醇化酶(NSE)和S100β水平的影响。该研究纳入了2016年2月至2017年3月在天津市妇产科中心医院收治的白质损害的早产儿76例。将他们随机分为对照组和观察组,每组38例。对照组给予常规治疗,观察组在给予对照组治疗的基础上给予神经节苷脂治疗。两组在治疗前后,均采用颅脑超声检查观察两组患儿心室周围的白质状况。 ELISA用于检测IL-6,NSE和S100β的水平。使用Gesell发育量表比较儿童各个功能区域的发育商(DQ)。观察组总有效率高于对照组(P <0.05)。观察组颅脑超声检查的灰度值明显低于对照组(P <0.05)。两组患儿在出生后7天和14天时IL-6,S100β和NSE含量均显着下降(P <0.05)。一年后,观察组在社交适应,粗大运动,精细运动,语言和个人社交方面的得分明显高于对照组。观察组患者的后遗症发生率明显低于对照组(P <0.05)。总之,神经节苷脂对患有白质损害的早产儿的干预治疗是有益的,并提供了保护作用。它也减少了续集并产生了可喜的结果。

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