期刊文献+

重组人促红细胞生成素对早产儿脑和神经行为发育的影响 被引量:4

Effect of recombinant human erythropoietin on development of brain and neural behavior in premature infants
原文传递
导出
摘要 目的:了解重组人促红细胞生成素对早产儿脑和神经行为发育的影响。方法:将56例早产儿随机纳入促红细胞生成素治疗组和对照组各28例,治疗组于出生第1周即给rHu-EPO750U.kg-1.w-1,隔日1次,每周3次,共6周,两组均给予维生素K1及补充水、电解质和能量等治疗。矫正胎(年)龄40周、3个月、12个月时两组早产儿均分别进行新生儿行为神经测定(NBNA评分)和神经系统发育评估(婴幼儿智能发育量表)。结果:矫正胎龄40周时,治疗组早产儿行为神经测定得分(39.14±0.51),明显高于对照组(35.10±0.97)(P<0.05);矫正年龄3个月、12个月时,智力发育指数和心理运动发育指数治疗组明显高于对照组(P<0.05)。结论:重组人促红细胞生成素对早产儿脑和神经行为发育可能有促进作用。 Objective:To understand the effect of recombinant human erythropoietin on development of brain and neural behavior in premature infants.Methods:56 premature infants were divided into erythropoietin group(n=28)and control group(n=28),the premature infants in erythropoietin group were treated with recombinant human erythropoietin,750 U·kg-1·w-1,once every two days,three times a week for 6 weeks,all the premature infants were treated with vitamin K1,liquid,electrolyte and energy,neonatal neurological score(NBNA score)and assessment of nervous system development(CDCC)were conducted in the two groups on the fortieth gestational age,third month and twelfth month.Results:On the fortieth gestational age,the neonatal neurological score in erythropoietin group was(39.14±0.51),which was significantly higher than that in control group(35.10±0.97)(P0.05);on the third month and twelfth month,the mental development index and psychomotor development index in erythropoietin group were significantly higher than those in control group(P0.05).Conclusion:Recombinant human erythropoietin may promote the development of brain and neural behavior in premature infants.
作者 王建英
出处 《中国妇幼保健》 CAS 北大核心 2010年第16期2227-2229,共3页 Maternal and Child Health Care of China
关键词 促红细胞生成素 早产儿 脑发育 神经行为发育 Erythropoietin Premature infant Brain development Neural behavior development
  • 相关文献

参考文献10

  • 1Genc S, Koroglu TF, Genc K. Erythropoietin and the nervous system [J]. Brain Res, 2004, 1000:19.
  • 2McPherson, Ronald J Juul, Sandra E. Recent trends in erythropoietin - mediated neuroprotection [J]. Int J Dev Neurosci, 2008, 26:103.
  • 3李宇阳,孙晶,刘正娟.促红细胞生成素在胎儿期及新生儿期的非造血作用[J].中国妇幼保健,2006,21(11):1586-1588. 被引量:6
  • 4许春花,金正勇,池永学.促红细胞生成素对新生大鼠缺氧缺血性脑损伤的保护作用[J].中国妇幼保健,2008,23(2):254-255. 被引量:3
  • 5Wu IW, Colrord JM. Chorioamnionitis as a risk factor for cerebral palsy : ameta-analysis [J].JAMA, 2000, 284:1417.
  • 6Nagai A, Nakagawa E, Choi HB et al. Erythropoietin and erythropoietin receptors in human CNS neurons, astrocytes, microglia, and oligodendrocytes grown in culture [J]. J Neuropathol Exp Neuro, 2001, 60: 386.
  • 7Juul SE, McPherson RJ, Farrell FX et al. Erythropoietin concentration in cerebral fluid of nonhuman primates and fetal sheep following high dose recombinant erythropoietin [J]. Biol Neonate, 2004, 85:138.
  • 8BrinesML, Ghezzi P, Keenan S et al. Erythropoietin crosses the blood -brain barrier to protect against experimental brain injury [J]. Proc Natl Acad Sci USA, 2000, 97:10526.
  • 9KumralA, Gonenc S, Acikgoz O et al. Erythropoietin increases glutathione peroxidasc enzyme activity and decreases lipid peroxidation levels in hypoxic- ischemic brain injury in neonatal rats [J]. Biol Neonate, 2005, 87:15.
  • 10Digicaylioglu M, Lipton SA. Erythropoietin - mediated neuroprotection involves eross - talk between Jak2 and NF - kappaB signalling caseades[J].Nature, 2001, 412:641.

二级参考文献28

  • 1林燕,王玲,赵一岭.促红细胞生成素对新生鼠缺氧缺血性脑损伤细胞凋亡的影响[J].中国临床康复,2006,10(8):67-69. 被引量:2
  • 2Krantz SB.Erythropoietin.Blood,1991,77:419
  • 3Maxwell PH,Ferguson DJP,Nichous LC et al.Sites of erythropoietin production Kidney International,1997,51:393
  • 4Dame C,Fahnenstich H,Freitag P et al.Erythropoietin mRNA expression in human fetal and neonatal tissue.Blood,1998,92 (9):3218
  • 5Juul SE.Erythropoietin in the neonat.Curr Probl Pediatr,1999,29:129
  • 6Georgieff MK,Schmidt RL,Mills MM et al.Fetal iron and cytochromec and status after intrauterine hypoxiemia and erythropoietin administration.Am J physiol,1992,262:485
  • 7Eckardt Ku.The ontogeny of the biological role and production of erythropoietin.J perinat Med,1995,23:19
  • 8Jazayeri A,Tsibis Jc,Spellacy WN.Fetal erythropoietin levels in growth restricted and appropriately grown neonates with and without abnormal fetal heart rate tracings:a comparising with cord blood gases and Apgar Scores.J perinatol,1999:19:255
  • 9Le Cam-Duchez V,Coquerel A,Chevallier F et al.Erythropoietin blood level is increased infant death.Biol Neonate,1999,76:1
  • 10Stockman JALLL,Dealarcon PA.Hematopoiesis and granulopoiesis.Fetal and Neonootal physiology.Philadelphia:WB Saunders,1992:1327

共引文献7

同被引文献45

  • 1王迎红,朱长连,程秀永,胡生海,冯红旗,王小阳.重组人促红细胞生成素对早产儿神经行为发育的影响[J].中国实用儿科杂志,2006,21(1):59-60. 被引量:12
  • 2邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].第4版.北京:人民卫生出版社,2011:307.
  • 3Fan X, Kavelaars A, Heijnen C J, et al. Pharmacological neuroprotec- tion after perinatal hypoxic-ischemic brain injury [ J ]. Curr Neurop- harmacol,2010,8 (4) :324-334.
  • 4Wen T C, Rogido M, Peng H, et al. Gender differences in long-term beneficial effects of erythropoietin given after neonatal stroke in post- natal day-7 rats[ J]. Neuroscience ,2006,139 ( 3 ) :803-811.
  • 5Wang T ,Hu Y,Leach MK,et al. Erythropoietin-loaded oligochitosan nanoparticles for treatment of pedventricular leukomalacia [J]. Int J Parma ,2012,422 ( 1-2 ) :462-471.
  • 6Kumral A, Genc S, Ozer E, et al. Erythropoietin downregulates bax and DP5 proapoptotic gene expression in neonatal hypoxic-ischemic brain injury [ J ]. Biol Neonate, 2006,89 ( 3 ) :205 -210.
  • 7Juul SE, Beyer RP, Bammler TK, et al. Microarray analysis of high- dose recombinant erythropoietin treatment of unilateral brain injury in neonatalmouse hiooocamDus [ J ]. Pediatr Res. 2009.65 ( 5 ) :485 -492.
  • 8Mengozzi M, Cervellini I, Villa P, et al. Erythropoietin-induced chan- ges in brain gene expression reveal induction of synaptic plasticity genes in experimental stroke [ J ]. Proc Nail Acad Sci USA,2012,109 (24) :9617-9622.
  • 9Chen CW,Chang YH,Tsi CJ,et al. Inhibition of IFN-gamma-media- ted inducible nitric oxide synthase induction by the peroxisome prolif- erator-activatexl receptor gamma agonist, 15-deoxydelta 12,14-prosta- glandin J2, involves inhibition of the upstream Janus ldnase/STAT1 signaling pathway [ J ]. J Immuno1,2003,171 ( 2 ) :979 -988.
  • 10Kilic U, Kilic E, Soliz J,et al. Erythropoietin protects from axotomy- induced degeneration of retinal ganglion cells by activating ERK-1/-2 [ J ]. FASEB J,2005,19:249-251.

引证文献4

二级引证文献18

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部