脐血铅、初乳铅含量和新生儿神经行为发育关系.docVIP

脐血铅、与初乳铅含量与新生儿神经行为发育关系 刘康生作者单位: 1安微医科大学公共卫生学院儿少妇幼系（合肥 230032） 2南京妇幼保健院检验科3南京妇幼保健院儿保科4南京妇幼保健院产科5南京儿童医院检验科210001作者简介：刘康生（1979-）,在读研究生,主管技师,从事微量元素和血铅儿保检验工作.通讯作者： 郝加虎 12 郝加虎1 顾平清2 作者单位: 1安微医科大学公共卫生学院儿少妇幼系（合肥 230032） 2南京妇幼保健院检验科 3南京妇幼保健院儿保科 4南京妇幼保健院产科 5南京儿童医院检验科210001 作者简介：刘康生（1979-）,在读研究生,主管技师,从事微量元素和血铅儿保检验工作. 通讯作者： 郝加虎 1、安微医科大学公共卫生学院儿少妇幼系 2、南京妇幼保健院检验科3、南京妇幼保健院儿保科4南京妇幼保健院产科5、南京儿童医院检验科 [摘要] 目的　探讨在宫内低水平铅暴露状态下,新生儿脐血铅含量及初乳铅铅含量与神经行为发育的关系。方法　随机选取南京市妇幼保健院医院产科2010-01/04出生的足月新生儿170例。以脐血铅和初乳铅铅含量作为新生儿铅暴露的指标,新生儿神经行为（NBNA）发育评分作为效应指标。结果 结果应以具体数据描述 高暴露组在新生儿主动肌张力、原始反射,和神经行为发育总评分上低于低暴露组，差异有统计学意义(t=4.625，p0.05),在新生儿行为能力、被动肌张力、一般估价上差异无统计学意义。 结论 初乳铅脐血铅水平和与婴儿的早期发育有关,铅可通过乳汁和脐血造成新生儿的铅接触,对新生儿婴儿早期神经行为发育产生不良影响。 结果应以具体数据描述 [关键词] 新生儿; 脐血铅; 乳铅; 神经行为发育; 早期指标. Relationship of lead levels in umbilical cord blood and in foremilk with neonatal neurobehavioral development。LIU kangsheng, HAO jiahu,GU pingqing.,GUI ling,SHI juan ,XU fei etal. Departmentof Child and Adoles- School of public health .ANHUI medical university hefei 230032.Anhui province .china. Department of laboratory .Nanjing maternity and child Health Care hospital Relationship Between Lead Levels in Umbilical Cord Blood /Foremilk and Neonatal Neurobehavioral Development LIU Kang-sheng, HAO Jia-hu, GU Ping-qing, et al. School of Public Health, Anhui Medical University, Department of Laboratory. Nanjing Maternity and Child Nanjing, 210004, Jia [Abstract ]:Objective : To explore the relationship betweenof lead levels in umbilical cord blood and in foremilk and the with their neurobehavioral develop-ment ofin neonates with intrauterine exposure to lead at low level. Methods: Totally Levels of lead in umbilical cord blood were deter-mined for 170 neonates born in Nanjing Maternity and Child Health Care Hospital were randomly selected to evaluate their neurobehavioral development according to the indicators of lead levels in umbilical cord blood and foremilk. Results The scores of initiative muscle tension, primitive reflex an