血清C-反应蛋白和唾液酸联合测定在新生儿细菌感染性疾病中的意义

Simultaneous determination of serum levels of creactive protein and sialic acid in the diagnosis and treatment of neonatal bacterial infection

摘要:

目的  探讨血清Ｃ－反应蛋白（ＣＲＰ）和唾液酸（ＳＡ）联合测定在新生儿早期细菌感染诊断和疗效观察中的意义。方法   同时测定５２例起病在１周内的细菌感染新生儿血清ＣＲＰ和ＳＡ水平。结果  ＣＲＰ在起病２４ｈ内即增加到（６８．３±３２．８）ｍｇ／Ｌ，与正常对照组[（０．７８±０．２５）ｍｇ／Ｌ］相比差异具有显著性（Ｐ＜０．０１），当炎症得到一定控制后则明显下降（Ｐ＜ ０．０１）。ＳＡ在起病２４ ｈ内逐渐增加，至１～３ ｄ和４～７ ｄ时分别升至（１．８８±０．８５），（２．９５±０．８７）ｍｍｏｌ／Ｌ，与对照组[（０．９１±０．４０）ｍｍｏｌ／Ｌ］比较差异具有显著性意义（Ｐ＜ ０．０１），当感染得到完全控制时可降至正常对照水平。结论  血清ＣＲＰ和ＳＡ的联合测定，有助于提高新生儿早期细菌感染性疾病的诊疗水平。

Abstract:

OBJECTIVE: To study the clinical significance of simultaneous determination serum contents of C-reactive protein(CRP) and sialic acid(SA) in the diagnosis and treatment of neonatal bacterial infection. METHODS: Serum levels of CRP and SA were simultaneously determined in the same sample in 52 neonates(ranging from day 1 to 1 week of life) with bacterial inf ection. RESULTS: The serum CRP level [(68.3±32.8)mg/L] significantly increased within 24 hours of infection compared with that in the non-i nfection neonates [(0.78±0.25)mg/L](P < 0.01).When the infection was pa rtially or completely controlled the serum CRP level decreased significantly(P< 0.01). The serum SA content within 24 hours of infection was increased, but it w as not s ignificantly different from that in the normal cases [(0.91±0.40)mmol/L]. It was gradually elevated and became significant at day 1～3 and day 4～7 of infection [(1.88±0.85) and(2.95±0.87)mmol/L,respectively](P < 0.01).Only when the infection was completely controlled did the serum SA content in infection neonates reduce to normal. CONCLUSIONS: The combined assay of serum CRP and SA contents is helpful in making an earlier diagnosis and proper treatme nt for neonatal bacterial infection.