临床儿科杂志 ›› 2021, Vol. 39 ›› Issue (5): 350-.doi: 10.3969/j.issn.1000-3606.2021.05.007

• 综合报道 • 上一篇    下一篇

脐静脉置管对极低出生体质量儿早期肠道菌群影响

孙斌杰, 王军, 杨倩倩, 徐艳, 刘文强   

  1. 徐州医科大学附属医院新生儿科(江苏徐州 221000)
  • 发布日期:2021-05-07
  • 通讯作者: 王军 电子信箱:664586331 @qq.com
  • 基金资助:
    江苏省妇幼健康科研项目(No.F 201850)

Effects of umbilical vein catheterization on intestinal lora of very low birth weight infants

s SUN Binjie, WANG Jun, YANG Qianqian, XU Yan, LIU Wenqiang   

  1. Department of Neonatology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000 , Jiangsu, China)
  • Online:2021-05-07

摘要: 目的 研究脐静脉置管对极低出生体质量儿早期肠道菌群的影响。方法 选择2019年6月至2020年6月新 生儿监护室收治的41例极低出生体质量儿作为研究对象。根据是否进行脐静脉置管,分为脐静脉置管组24例和非脐静脉 置管组17例。收集新生儿生后第1、3、7天的粪便样本,应用高通量测序技术对粪便样本中的细菌16 S基因全长进行测序, 比较两组间各个时间段肠道菌群多样性及相对丰度。结果 入选41例新生儿中,男26例、女15例,胎龄30.0(29.3~30.6)周, 出生体质量(1.25±0.10)kg。第1天肠道菌群检出率低。第3天,脐静脉置管组和非脐静脉置管组之间shannon指数差异 无统计学意义(P>0 . 05),组间各个菌群相对丰度差异无统计学意义(P>0 . 05)。第7天,与非脐静脉置管组相比,脐静脉 置管组shannon指数较低,变形菌门相对丰度较大,厚壁菌门及放线菌门相对丰度较小,克雷伯菌属相对丰度较大,双歧 杆菌属及肠球菌属相对丰度较小,差异均有统计学意义(P均

关键词: 脐静脉置管; 极低出生体质量儿; 肠道菌群

Abstract: Objective To study the effect of umbilical vein catheterization on intestinal flora of very low birth weight infants. Methods A total of 41very low birth weight infants hospitalized in NICU from June 2019 to June2020 were enrolled. According to the umbilical vein catheterization status, they were divided into umbilical vein catheterization group (n=24) and nonumbilical vein catheterization group (n=17). Fecal samples were collected on day 1, 3 and 7 after birth. In order to study the effect of umbilical vein catheterization on intestinal flora, the diversity and relative abundance of intestinal flora between two groups at different times, Illumina high-throughput sequencing technology was used to sequence 16S gene. Results The detection rate of intestinal flora at the first day was low, so we did not compare the difference between the two groups. At the third day, there was no significant difference between the two groups in the Shannon index and relative abundance of all bacteria (P>0.05). At the seventh day, the Shannon index in umbilical vein catheterization group was significantly lower than that of non-umbilical vein catheterization group (P

Key words: umbilical vein catheterization; very low birth weight infants; intestinal flora