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Recombinant erythropoietin protective and related effects on brain injury in premature infants
1Neonatal Department, Handan Central Hospital of Hebei Province, Handan, Hebei, China. liu_xh_HCHHP@mjc-edu.cn.
Insights
Recombinant erythropoietin shows protective effects against brain injury in premature infants, improving intellectual and psychomotor development. It also impacts cytokines but does not significantly alter blood routine indicators.
Area of Science:
- Neonatal Medicine
- Developmental Pediatrics
- Pharmacology
Background:
- Premature infants are susceptible to brain injury.
- Early intervention is crucial for improving outcomes.
Purpose of the Study:
- To evaluate the protective effects of recombinant erythropoietin (EPO) on brain injury in premature infants.
- To assess EPO's impact on blood routine, liver function, and neurodevelopmental indices.
Main Methods:
- 120 premature infants were divided into four groups: three experimental groups receiving different doses of EPO and one control group.
- Intervention involved EPO treatment for experimental groups and conventional methods for the control group.
Main Results:
- EPO treatment significantly reduced S-100B and IL-6 levels (p<0.05).
- Improved neonatal behavior was observed in groups A and B compared to controls (p<0.05).
- Intellectual development showed significant improvement at 3, 6, and 9 months post-treatment (p<0.05).
- Liver function indices improved significantly post-treatment (p<0.05), while blood routine indicators remained unchanged.
Conclusions:
- Recombinant erythropoietin demonstrates a protective effect on brain injury in premature infants.
- EPO improves intellectual development, mental development index (MDI), and psychomotor development index (PDI).
- EPO effectively modulates related cytokines and shows significance in treating brain injury without affecting blood routine indicators.
Objective:
The aim of this study was to investigate the protective effect of recombinant erythropoietin at different doses on brain injury in premature infants and the related effects on blood routine, liver function, intellectual development, mental development index (MDI), psychomotor development index (PDI), etc. PATIENTS AND METHODS: A total of 120 premature infants were divided into four groups, including experimental group A (n=30), experimental group B (n=30), experimental group C (n=30) and control group (n=30). The experimental group was treated with different doses of recombinant erythropoietin for brain injury protection of premature infants, while the control group with conventional methods.
Results:
There was no statistical significance in all test indicators of the four groups of patients before the intervention. After the intervention experiment, the S-100B index was p<0.05, and the erythropoietin (EPO) index was p<0.05. In the comparison of IL-6 indicators, the indicators of the experimental group were reduced after the comparison experiment, and there were significant differences, p<0.05. In neonatal behavior evaluation, there was a statistical difference between groups A and B and the control group (p<0.05), and no statistical significance was shown between group C and the control group (p>0.05). In the intelligence test comparison, the F value of the experimental group was 3.113 three months after treatment. After six months, the F value was 3.654. After nine months, the F value was 3.392 with p<0.05. In the comparison of blood routine indicators, the p-values of four indicators between groups were more than 0.05. In the comparison of liver function indexes, the indexes of groups A, B, and C were significantly changed before and after treatment, and the data after treatment were significantly different from those before treatment, p<0.05. In the comparison of development, there were no significant differences observed in the p-values of the two indicators of vigorous exercise and language in the experimental group.
Conclusions:
Recombinant erythropoietin has a protective effect on infants with brain injury and can improve the intellectual development of premature infants, but has no significant effect on blood routine indicators. It can effectively improve the MDI, PDI, and related cytokines of premature infants, and has certain significance for the treatment of brain injury.
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