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迟发型母乳性黄疸患儿肠道菌群特征研究

Characteristics of intestinal flora in children with late onset breast milk jaundice

  • 摘要: 目的 探讨迟发型母乳性黄疸患儿肠道菌群特征,为制定迟发型母乳性黄疸诊疗规范提供参考依据。方法 选取2020年11月—2021年4月就诊于新疆乌鲁木齐市妇幼保健院的15例迟发型母乳性黄疸(late-onset breast milk jaundice,LBMJ)患儿(LBMJ组)及乌鲁木齐市某月子会所15例母乳喂养的健康新生儿(对照组)为研究对象。收集两组新生儿的粪便样本,并采用16S核糖体DNA(16S ribosome DNA,16S r DNA)高通量测序技术分析比较两组新生儿肠道菌群情况的差异。结果 两组新生儿在采样日龄、喂养方式、身长、体重方面进行比较,差异均有统计学意义(均P<0.05)。两组新生儿肠道菌群在多样性水平上的比较差异无统计学意义(P> 0.05);LDA差异贡献分析(linear discriminant analysis effect size,LEfSe)显示双歧杆菌属是组间具有显著差异的菌种。结论 迟发型母乳性黄疸患儿的肠道菌群丰度和种类总体上与健康新生儿无明显差异;双歧杆菌属是LBMJ组和对照组中均起到重要作用的微生物类群,但双歧杆菌是否影响迟发型母乳性黄疸的发生发展,还有待于进一步深入研究。

     

    Abstract: Objective To explore the characteristics of intestinal flora in children with late onset breast milk jaundice(LBMJ) so as to provide evidence for developing guidelines of LBMJ.Methods 15 children with LBMJ in Urumqi Maternal and Child Health Care Hospital and 15 healthy newborns(control group) in Urumqi postpartum rehabilitation center were recruited as study subjects from November 2020 to April 2021. Their fecal samples were collected, and the differences of intestinal flora between the two groups were analyzed and compared by 16S ribosome DNA(16S r DNA) high-throughput sequencing technology.Results They were significantly different in terms of sampling day, feeding mode, body length and weight between the two groups(all P< 0. 05). There was no difference in terms of the diversity of intestinal flora between the two groups(P>0. 05). Linear discriminant analysis(LDA) effect size showed that Bifidobacterium was the species with significant differences between the two groups.Conclusion The abundance and species of intestinal flora in children with LBMJ are not different from those in healthy newborns. Bifidobacterium plays important roles in both LBMJ group and control group, but whether bifidobacterium affects the occurrence and development of LBMJ needs to be further studied.

     

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