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作 者:姚英姿[1] 谭志伟[1] 杨孜[1] 单念忠[1]
机构地区:[1]南方医科大学附属中山博爱医院生殖遗传中心,广东中山528403
出 处:《中国妇幼保健》2008年第2期195-196,共2页Maternal and Child Health Care of China
摘 要:目的:了解中山地区苯丙酮尿症的发病率、临床类型以及治疗情况。方法:取出生72h后并喂足高蛋白奶6次以上的95471例新生儿足跟血,应用荧光定量法测定血苯氨酸(phe)水平,对PKU患儿给予低phe饮食。结果:在95471例新生儿中检出phe增高(phe≥2mg/dl)的可疑者15例,经血清氨基酸分析,确诊PKU患儿2例,均为经典型PKU,总发病率为1/47736。PKU患儿经治疗后智力明显提高,临床各项指标恢复正常。结论:中山地区PKU发病率低于全国平均水平,对PKU采用的治疗方法适用、有效。Objective: To investigate the frequencies, treatment and clinic classification of phenylketonuria (PKU) in Zbongshan by screening neonatal phenylketonuria (PKU).Methods: The screening for neonatal PKU was conducted among 95471 newborns in Zhongshan. Heel prick blood specimens were collected around 48-72h after birth with 6 intakes of high protein milk and specimens were dried on S&S903 filter papers. Phenylalanine (Phe) levels were determined quantitatively with Perkin Elmer Neonatal Fluorometric PKU kits. low Phe food was fed for PKU newborns. Results: Among 95 471 newborns, elevated blood Phe levels were fund in 15 infants. They were all recalled for serum amino acid analysis and 2 infants were confirmed to have classic PKU. The frequencies of total PKU in Zhongshan were 1/47736. All clinic indexes of 2 PKU infants become normal by treatment. Conclusion: The data shows that the frequencies of total PKU in Zhongshan are lower than ones of the whole country. The treatment is effective and applicable for PKU.
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