Changes and significance of serum prealbumin, bilirubin/albumin ratio and BAEP in early neonatal hyperbilirubinemia
10.3760/cma.j.issn.1673-4408.2011.01.032
- VernacularTitle:新生儿高胆红素血症血清前白蛋白及总胆红素/白蛋白比值与脑干听觉诱发电位的关系
- Author:
Haowen WANG
;
Jinbao HUANG
- Publication Type:Journal Article
- Keywords:
Hyperbilirubinemia;
Prealbumin;
Bilirubinic neurotoxicity;
Brainstem auditory evoked potential;
Early neonate
- From:
International Journal of Pediatrics
2011;38(1):91-93
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the significance of serum prealbumin, bilirubin/albumin( B/A )ratio and brainstem auditory evoked potential (BAEP)for early predicting the bilirubinic neurotoxicity caused by early neonatal hyperbilirubinemia. Methods According to the gestational age, birth weight and the intervention criterion of neonatal jaundice, 94 neonates (newborn infants with a age of 1-7days) with hyperbilirubinemia were divided into two groups, one was term neonates with normal BAEP, the other was term neonates with abnormal BAEP. We detected their serum levels of total bilirubine, prealbumin, BAEP and calculated B/A ratio. Result The prealbumin levels was significantly lower and B/A ratio was higher in group of abnormal BAEP than those of control group ( P < 0. 01 ), while the levels of total bilirubin were not significantly different between the two groups ( P > 0. 05 ). In group of abnormal BAEP , there was a negative correlation between the level of serum prealbumin and the B/A ratio (r = -0. 637, P <0. 01 ). Conclution Prealbumin may be a sensitive indicator for early predicting bilirubinic toxicity like B/A ratio and BAEP.
