Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1395
11
1
gregorian
2017
2
1
23
152
online
1
fulltext
fa
رابطه بین سطح سرمی کلسیم و قند خون نوزادان مبتلا به زردی غیرکونژوگه تغذیه کننده از شیر مادر با سطح سرمی بیلیروبین مستقیم و غیرمستقیم و مقایسه با جنسیت
Relationship between serum calcium and blood sugar levels of breast feeding newborns affected by unconjugated jaundice with direct and indirect bilirubin serum level and comparison with gender
بیوشیمی
Biochemistry
پژوهشي
Research
<p dir="RTL" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align:justify;text-justify:inter-ideograph;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">زمینه و هدف</span></span></strong>: <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">یکی</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">از مهم‏ترین گیرنده‏های عصبی بیلی‏روبین، ان</span></span></span><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">–</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">متیل</span></span></span><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">–</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">دی</span></span></span><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">–</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">آسپارتات</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">(NMDA</span></span></span></span><span dir="LTR"><span style="color:red;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">:</span></span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"> N‑methyl‑D‑Aspartate) </span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> است. بعضی از والدین عقیده دارند که محلول آب‏قند سطح سرمی بیلی‏روبین در نوزادان </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">را </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">کاهش می‏دهد</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">. در این مطالعه رابطه بین زردی نوزادان و میزان سطح سرمی قند‏خون و کلسیم بررسی میشود.</span></span></span></p>
<p dir="RTL" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align:justify;text-justify:inter-ideograph;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">روش‏کار</span></span></span></strong><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">:</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">این مطالعه توصیفی-تحلیلی روی 102 نوزاد </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">مبتلا به زردی با وزن تولد بالای 2500 گرم و بدون هر گونه بیماری زمینهای</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> بستری در بیمارستان </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">به مدت 6 ماه انجام شد. </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">اندازه‏گیری</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> های بیلی‏روبین،</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">کلسیم و قندخون توسط دستگاههای اسپکتروفتومتر و بنماری، محلولهای دیازو </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">A</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> و </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">B</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">، متانول، محلول رنگی، استاندارد کلسیم، معرف و استاندارد گلوکز انجام شد. </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">تجزیه و تحلیل داده‏ها با نرم‏افزار </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> انجام شد.</span></span></span></p>
<p dir="RTL" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align:justify;text-justify:inter-ideograph;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">یافته ‏ها</span></span></span></strong><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">:</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> 9/55 درصد نوزادان پسر و 1/44 درصد دختر بوده است.</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> بین کلسیم و بیلی‏روبین غیرمستقیم (</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">193/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"> r = </span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">، </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">1/0 </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P<</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">) در سطح اطمینان 90 درصد رابطه معناداری وجود داشت. </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">زردی ناشی از کمبود دریافت شیر مادر</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">در 11/94 درصد نوزادان دیده شده است. رابطه معناداری بین قند‏خون با بیلی‏روبین غیرمستقیم </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">(048/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">r = - </span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">، </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">1/0 </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P></span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">)</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> در سطح اطمینان 90%، یافت نشد. بین جنسیت و قند‏خون </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">(039/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">r = - </span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> ، 1/0 </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P></span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">)</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">و کلسیم (030/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">r = </span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> ، 1/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P></span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">) </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">در سطح </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">اطمینان</span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> 90% رابطه معناداری وجود نداشت.</span></span></span></p>
<p dir="RTL" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align:justify;text-justify:inter-ideograph;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">نتیجه‏ گیری</span></span></span></strong><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:10.0pt;">: به عنوان نتیجهگیری کلی میتوان گفت سطح کلسیم تام سرم با افزایش بیلی‏روبین افزایش یافته و رابطه معناداری بین قندخون و بیلی‏روبین وجود ندارد. </span></span></span></p>
<p><strong>Background</strong>: One of the most important bilirubin nervous receptors is N-Methyl-D-Aspartate (NMDA). Some parents believe that the aqueous solution of sugar reduces the bilirubin serum level in newborns. In this work, the relationship between newborns jaundice and the levels of serum calcium and blood sugar was investigated.</p>
<p><strong>Methods:</strong> This descriptive analytical study was performed on 102 icteric newborns above 2500 gram weight and without any basic disease hospitalized for six month. Bilirubin, calcium and blood sugar determinations were performed with spectrophotometer and benmary devices, diazo solutions A and B, methanol, dyed solution, calcium standard, addition glucose indicator and standard. Results were analyzed with SPSS software.</p>
<p><strong>Results:</strong> 55.9% newborns were boys and 44.1% were girls. There was significant relationship between calcium and indirect bilirubin (p< 0.1, r= 0.193) in 90% confidence level. Jaundice resulting from deficiency in breast milk, was observed in 94.11% of the newborns. There was no significant relationship between blood sugar and indirect bilirubin (p>0.1, r=‑0.048) in 90% confidence level. Also, there was no significant relationship between gender and blood sugar (p> 0.1, r= -0.039) and calcium (p> 0.1, r= 0.030) in 90% confidence level.</p>
<p><strong>Conclusion:</strong> Increase in bilirubin, increases total calcium serum level and relationship between blood sugar and bilirubin was not meaningful</p>
هیپربیلی روبینمی, کلسیم, قندخون, زردی غیرکونژوگه
Hyperbilirubinemia, Calcium, Blood sugar, Unconjugated Jaundice
88
96
http://rjms.iums.ac.ir/browse.php?a_code=A-10-2327-1&slc_lang=fa&sid=1
Hatefi-Mehrjardi
عبدالحمید
هاتفی مهرجردی
hhatefy@yahoo.com
3900319475328460035312
3900319475328460035312
Yes
Payame Noor University, Tehran, Iran
دانشگاه پیام نور، تهران، ایران
Mahboubeh
Jamshidpour
محبوبه
جمشیدپور
ma_jamshidpour@yahoo.com
3900319475328460035311
3900319475328460035311
No
Payame Noor University, Tehran, Iran
دانشگاه پیام نور، تهران، ایران
Mahboubeh
Mirhosseini
محبوبه
میرحسینی
m.mirhossaini@gmail.com
3900319475328460035313
3900319475328460035313
No
Payame Noor University, Tehran, Iran
دانشگاه پیام نور، تهران، ایران