SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS

Respiratory distress syndrome of the newborns is one of the most common critical states of the neonatal period, the cause of this complication is the primary deficiency of surfactant with the consequent progress of hypoxia, syndrome of fetal systemic inflammatory response and hypermetabolism. Goal of ...

Full description

Saved in:
Bibliographic Details
Main Authors: P. I. Mironov, I. Z. Gareev, Yu. S. Аleksandrovich, K. V. Pshenisnov
Format: Article
Language:Russian
Published: New Terra Publishing House 2017-11-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/40
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849685316375412736
author P. I. Mironov
I. Z. Gareev
Yu. S. Аleksandrovich
K. V. Pshenisnov
author_facet P. I. Mironov
I. Z. Gareev
Yu. S. Аleksandrovich
K. V. Pshenisnov
author_sort P. I. Mironov
collection DOAJ
description Respiratory distress syndrome of the newborns is one of the most common critical states of the neonatal period, the cause of this complication is the primary deficiency of surfactant with the consequent progress of hypoxia, syndrome of fetal systemic inflammatory response and hypermetabolism. Goal of the trial: the evaluation of blood amino-acid metabolism in the newborns with respiratory distress syndrome depending on the duration of artificial pulmonary ventilation. Materials and methods: prospective controlled non-randomized one-centered trials with 48 newborns included. The main group (n = 22) included newborns to whom surfactant was administered one, and the control group (n = 26) included children who required the repeated administration of surfactant and continuous (72 hours and more) artificial pulmonary ventilation. Results of the trial. It has been found out that the children from the control group had higher concentration of citrulline in blood plasma (21.0 ± 0.7 versus 14.4 ± 1.2, p < 0.05) and lower concentration of the total protein in blood plasma (49.10 ± 0.87 versus 64.8 ± 1.8; p < 0.05). The negative correlation dependency was found between hypoproteinemia and content of alanine (r = -0.99; p < 0.05), arginine (r = -0.97; p < 0.005), citrulline (r = -0.93; p < 0.05) and tyrosine (r = -0.66; p < 0.05). Conclusion. Severe course of respiratory distress syndrome in the newborns is accompanied by obvious disorders in amino acid metabolism, which requires timely management.
format Article
id doaj-art-57420138dfef4403b44547ed715e6734
institution DOAJ
issn 2078-5658
2541-8653
language Russian
publishDate 2017-11-01
publisher New Terra Publishing House
record_format Article
series Вестник анестезиологии и реаниматологии
spelling doaj-art-57420138dfef4403b44547ed715e67342025-08-20T03:23:11ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532017-11-01124394310.21292/2078-5658-2015-12-4-39-4340SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNSP. I. Mironov0I. Z. Gareev1Yu. S. Аleksandrovich2K. V. Pshenisnov3Bashkirsky State Medical University, UfaRepublican Children Clinical Hospital, UfaSt. Petersburg State Pediatric Medical University, St. PetersburgSt. Petersburg State Pediatric Medical University, St. PetersburgRespiratory distress syndrome of the newborns is one of the most common critical states of the neonatal period, the cause of this complication is the primary deficiency of surfactant with the consequent progress of hypoxia, syndrome of fetal systemic inflammatory response and hypermetabolism. Goal of the trial: the evaluation of blood amino-acid metabolism in the newborns with respiratory distress syndrome depending on the duration of artificial pulmonary ventilation. Materials and methods: prospective controlled non-randomized one-centered trials with 48 newborns included. The main group (n = 22) included newborns to whom surfactant was administered one, and the control group (n = 26) included children who required the repeated administration of surfactant and continuous (72 hours and more) artificial pulmonary ventilation. Results of the trial. It has been found out that the children from the control group had higher concentration of citrulline in blood plasma (21.0 ± 0.7 versus 14.4 ± 1.2, p < 0.05) and lower concentration of the total protein in blood plasma (49.10 ± 0.87 versus 64.8 ± 1.8; p < 0.05). The negative correlation dependency was found between hypoproteinemia and content of alanine (r = -0.99; p < 0.05), arginine (r = -0.97; p < 0.005), citrulline (r = -0.93; p < 0.05) and tyrosine (r = -0.66; p < 0.05). Conclusion. Severe course of respiratory distress syndrome in the newborns is accompanied by obvious disorders in amino acid metabolism, which requires timely management.https://www.vair-journal.com/jour/article/view/40newbornsrespiratory distress syndromemetabolismanimo-acids
spellingShingle P. I. Mironov
I. Z. Gareev
Yu. S. Аleksandrovich
K. V. Pshenisnov
SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS
Вестник анестезиологии и реаниматологии
newborns
respiratory distress syndrome
metabolism
animo-acids
title SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS
title_full SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS
title_fullStr SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS
title_full_unstemmed SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS
title_short SPECIFIC METABOLISM OF BLOOD AMINO-ACIDS IN RESPIRATORY DISTRESS SYNDROME OF THE NEWBORNS
title_sort specific metabolism of blood amino acids in respiratory distress syndrome of the newborns
topic newborns
respiratory distress syndrome
metabolism
animo-acids
url https://www.vair-journal.com/jour/article/view/40
work_keys_str_mv AT pimironov specificmetabolismofbloodaminoacidsinrespiratorydistresssyndromeofthenewborns
AT izgareev specificmetabolismofbloodaminoacidsinrespiratorydistresssyndromeofthenewborns
AT yusaleksandrovich specificmetabolismofbloodaminoacidsinrespiratorydistresssyndromeofthenewborns
AT kvpshenisnov specificmetabolismofbloodaminoacidsinrespiratorydistresssyndromeofthenewborns