中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (4): 392-394.DOI: 10.11852/zgetbjzz2017-25-04-20

• 临床研究与分析 • 上一篇    下一篇

功能性消化不良儿童IGF-I水平变化与营养指标关系研究

肖满田1,萧灿荣2,丘小汕3,钱兴国1   

  1. 1 广州医科大学附属第三医院荔湾医院,广东 广州 510170;
    2 东莞市妇幼保健院,广东 东莞 523000;
    3 中山大学附属第一医院,广东 广州 510080
  • 收稿日期:2016-05-03 发布日期:2017-04-10 出版日期:2017-04-10
  • 通讯作者: 萧灿荣,E-mailxiaocanrong@163.com
  • 作者简介:肖满田,女,主任医师,学士学位,主要研究方向为儿童消化系统疾病。
  • 基金资助:
    广州市荔湾区科技局基金项目资助(20141216059)

Research on the relationship between changes of IGF-I levels in children with functional dyspepsia and indicators of nutrition

XIAO Man-tian1,XIAO Can-rong2,QIU Xiao-shan3,QIAN Xing-guo1   

  1. 1 The Third Affiliated Hospital of Guangzhou Medical University Liwan Hospital,Guangzhou,Guangdong 510170,China;
    2 Dongguan Maternal and Child Health Care Hospital,Dongguan,Guangdong 523000,China;
    3 The First Affiliated Hospital of SUNYat-sen University,Guangzhou,Guangdong 510080,China
  • Received:2016-05-03 Online:2017-04-10 Published:2017-04-10
  • Contact: XIAO Can-rong,E-mailxiaocanrong@163.com

摘要: 目的 研究功能性消化不良儿童血清胰岛素样生长因子I(IGF-I)水平变化及其对营养状况影响,探讨功能性消化不良患儿IGF-I与营养关系。方法 选取年龄1~7岁,符合功能性消化不良诊断标准儿童为观察组50例,健康儿童为对照组50例,每例均检测血清IGF-I、前白蛋白(PA)、视黄醇结合蛋白(RBP)、转铁蛋白(TRF)、白蛋白(ALB)及游离脂肪酸(FFA)水平,使用SPSSl8.0统计软件处理数据。结果 功能性消化不良儿童血清IGF-I含量明显低于健康对照组,其营养指标前白蛋白、视黄醇结合蛋白、转铁蛋白同样低于健康对照组,差异有统计学意义(t值分别是7.60、5.00、2.50、2.40,P<0.05),而游离脂肪酸和白蛋白未见明显差异性(t值分别是0.15、1.1,P>0.05)。结论 功能性消化不良儿童消化功能异常,营养吸收障碍,体内合成前白蛋白、视黄醇结合蛋白、转铁蛋白减少,导致血清IGF-I含量下降,低水平IGF-I影响着患儿生长发育。

关键词: 功能性消化不良, 儿童, 胰岛素样生长因子I, 营养

Abstract: Objective To research the relationship between the level of insulin-like growth factor-I (IGF-I) and the nutrition state of children with functional dyspepsia. Methods A total of 50 cases of children with functional dyspepsia were selected as the observation group,and 50 cases of healthy children as the control group,both of whom were within 1~7 years old.The levels of serum IGF-I,PA,RBP,TRF,ALB and FFA were checked on each single child and analysis data were rendered and processed by means of SPSS18.0 statistical software. Results The level of serum IGF-I of the functional dyspepsia children was significantly lower than that of the healthy children,nutrition indicators of PA,RBP,TRF also were lower than those of the healthy children( t values were 7.60,5.00,2.50,2.40,P<0.05),but there were not obvious differences of free fatty acids and ALB (t values were 0.15、1.1,P>0.05). Conclusions Children with functional dyspepsia have a digestive disturbance,the barrier of children's absorption of nutrients disorder,and reduction of PA,RBP,TFR,which leads to decrease the serum IGF-I content.Lower level of IGF-I will affect growth and development of the functional dyspepsia children.

Key words: functional dyspepsia, children, insulin-like growth factor-I, nutrition

中图分类号: