The levels of S-100β MBP and NSE in cerebrospinal fluid of children with benign infantile convulsions associated with mild gastroenteritis
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摘要: 目的 通过分析轻度胃肠炎伴婴幼儿良性惊厥(BICE)的患儿脑脊液及血清中S-100β蛋白、碱性髓鞘蛋白(MBP)、神经元特异性烯醇化酶(NSE)的变化,认识其在该病发病机制中所起的作用。 方法 选取38例BICE住院患儿作为观察组,同时选取良性颅内压增高症、鼻窦炎及上呼吸道感染患儿作为对照组,共18例。观察组按惊厥发生次数分为2组,观察组1(<2次)16例,观察组2(≥ 2次)22例。酶联免疫法(ELISA)测定各组脑脊液及血清中S-100β蛋白、MBP和NSE含量。 结果 观察组患儿脑脊液及血清中S-100β、NSE含量明显高于对照组(P<0.01),其中观察组2上述指标显著高于观察组1(P<0.01);观察组患儿脑脊液及血清中MBP含量与对照组比较差异无统计学意义(P>0.05),上述指标在两观察组间差异无统计学意义(P>0.05);两组观察组治疗前后血清中S-100β、NSE含量对比,在治疗后均较前明显下降,具有统计学意义(P<0.01)。 结论 S-100β、NSE水平与BICE的患儿病情严重程度有关。BICE患儿存在脑神经细胞的损害,且随着惊厥发生次数增加,损害加重,其病理变化未累及中枢神经系统髓鞘结构。Abstract: Objective To explore the role in the pathogenesis of benign infantile convulsions with mild gastroenteritis (BICE) by study the changes of S-100β,myelin basic protein (MBP) and neuron-specific enofase (NSE) levels in cerebrospinal fluid. Methods Total 38 cases of children with BICE in our hospitalized were recruited,they were set to observe group.Eighteen children admitted due to acute upper respiratory infection were recruited to the control group.Convulsion occurrences are divided into two groups,the observation group 1(seizure frequency less than twice) in 16 cases,observation group 2(seizure frequency greater than or equal to twice)22 cases.The S-100β,MBP and NSE levels of each group in cerebrospinal fluid and serum were measured by ELISA. Results Levels of S-100β and NSE in cerebrospinal fluid and serum in BICE patients were higher than those of the control group (P<0.01),and these items in observation group 2 were found to be higher than those in observation group 2(P<0.01).There were no significant differences in MBP levels in cerebrospinal fluid and serum between BICE patients and control group (P>0.05),and these items were found no significant differences in two observation groups (P>0.05).The levels of S-100β and NSE in serum after treatment were significantly decreased than those before treatment in two observation groups (P<0.01). Conclusion level of S-100β and NSE were correlated well with the severity of BICE children.With an increase of seizure number,the damage of nerve cells increased in BICE patients.There were no pathological changes in myelin structure in BICE patients.
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Key words:
- Gastroenteritis /
- Convulsions /
- S-100β /
- MBP /
- NSE
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