首页|甘肃省部分地区1203例遗传代谢病高危儿气相色谱-质谱检测结果分析

甘肃省部分地区1203例遗传代谢病高危儿气相色谱-质谱检测结果分析

Analysis of gas chromatography-mass spectrometry detection results of 1203 infants at high-risk of inherited metabolic diseases in some regions of Gansu province

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目的 对甘肃省部分地区2008-2018年共11年间遗传代谢病高危儿的气相色谱质谱技术筛查结果进行分析.了解高危儿遗传代谢病的发病特点,为早发现、早诊断及早治疗提供理论依据.方法 汇总整理2008-2018年甘肃省部分地区1203例遗传代谢病高危儿临床资料进行分析.结果 本研究检测结果异常823例,检测异常阳性率为68.41%,共确诊遗传代谢病185例,确诊率15.38%,共检出12种遗传代谢病,其中高苯丙氨酸血症最常见,占61.08%,其次为甲基丙二酸血症,占20.00%.发病年龄以婴幼儿期起病最为多见,临床特征以神经系统表现最为常见.结论 甘肃省部分地区2008-2018年临床高危儿遗传代谢病发病率高,以高苯丙氨酸血症为主.遗传代谢病高危儿可在各年龄段发病,婴幼儿期最常见,神经系统表现尤为突出,通常确诊时就已出现机体不可逆的损伤,故加强三级预防至关重要.
Objective The screening results of gas chromatography-mass spectrometry for infants at high-risk of in-herited metabolic diseases in some regions of Gansu province in 11 years,from 2008 to 2018,were analyzed,so as to under-stand the characteristics of infants at high-risk of inherited metabolic diseases and to provide theoretical basis for early detec-tion,early diagnosis and early treatment.Methods The clinical data of 1203 infants at high-risk of inherited metabolic diseases in some regions of Gansu province from 2008 to 2018 were collected and analyzed.Results There were 823 cases of abnormal test re-sults in this study,with a positive rate of 68.41% .A total of 185 cases of inherited metabolic diseases were diagnosed,with a diagnosis rate of 15.38% .A total of 12 types of inherited metabolic diseases were detected,of which hyperphenylalaninemia was the most com-mon,accounting for 61.08% ,followed by methylmalonic acidemia,accounting for 20.00% .The onset age is most common in infants and young children,with neurological manifestations being the most common clinical features.Conclusion The incidence rate of in-herited metabolic diseases in infants at high-risk of the diseases in some regions of Gansu province is high,mainly hyperphenyla-laninemia.It can occur in various age groups,with the most common symptoms occurring during infancy and particularly prominent neurological manifestations.Irreversible damage to the body usually occurs at the time of diagnosis,so strengthening tertiary preven-tion is crucial.

Gansu provinceinherited metabolic diseasesinfants at high-riskgas chromatography-mass spec-trometry

邵丹、叶新华

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兰州大学第一临床医学院,甘肃兰州 730000

兰州大学第一医院儿童保健科,甘肃兰州 730000

甘肃省 遗传代谢病 高危儿 气相色谱-质谱技术

甘肃省科技计划项目

21YF1FA115

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(5)
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