首页|酚妥拉明治疗新生儿坏死性小肠结肠炎的效果及对新生儿免疫功能的影响

酚妥拉明治疗新生儿坏死性小肠结肠炎的效果及对新生儿免疫功能的影响

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目的 探讨酚妥拉明治疗新生儿坏死性小肠结肠炎(Necrotizing enterocolitis,NEC)的效果及对新生儿免疫功能的影响。方法 根据治疗方法不同将2021年7月~2023年7月我科收治的78例NEC新生儿分为对照组和观察组,各 39 例。对照组给予常规治疗,观察组在对照组治疗基础上同时给予酚妥拉明。对比两组的临床疗效、症状改善时间、炎性指标、免疫功能。结果 观察组治疗有效率高于对照组(97。43%vs 84。61%,P<0。05),腹胀改善、大便改善、肠内营养恢复的时间短于对照组(P<0。05),治疗后的白细胞介素-10(IL-10)高于对照组,C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)低于对照组(P<0。05),治疗后的免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、补体 3(C3)、补体 4(C4)高于对照组(P<0。05)。结论 酚妥拉明治疗新生儿NEC的效果显著,能够促进患儿恢复,改善炎性指标,提高免疫功能。
Effect of phentolamine on neonatal necrotizing enterocolitis and its influence on immune function of newborns
Objective To investigate the effect of phentolamine on neonatal necrotizing enterocolitis(NEC)and its influence on immune function of newborns.Methods Seventy-eight neonates diagnosed with NEC between July 2021 and July 2023 were enrolled and divided into two groups:control group(n=39)and observation group(n=39).The control group received standard treatment,while the observation group received phentolamine in addition to standard care.Clinical efficacy,duration of symptom alleviation,inflammatory indices and immune functions were compared between the groups.Results The effective rate of the observation group(97.43%)was higher than that of the control group(84.61%)P<0.05.The improvement time of abdominal distension,stool improvement and enteral nutrition recovery in the observation group were shorter than that of the control group(P<0.05).The interleukin-10(IL-10)after treatment in the observation group was higher than that of the control group,and C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)were lower than those in the control group(P<0.05).Immunoglobulin A(IgA),immunoglobulin M(IgM),complement 3(C3)and complement 4(C4)in the observation group after treatment were higher than those in the control group(P<0.05).Conclusion Phentolamine is effective in the treatment of neonatal NEC,which can promote the recovery of children,improve inflammatory indicators and enhance immune function.

PhentolamineNeonatal necrotizing enterocolitisInflammatory indexImmune function

唐克卉

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昆明市第一人民医院儿科,云南昆明 650000

酚妥拉明 新生儿坏死性小肠结肠炎 炎性指标 免疫功能

2024

中国现代医药杂志
北京航天总医院

中国现代医药杂志

影响因子:0.689
ISSN:1672-9463
年,卷(期):2024.26(2)
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