16SrDNA法测定新生儿出生后粪便中肠道菌群定植情况及临床意义

    Clinical significance of 16SrDNA method for determination of colonization of intestinal flora in feces of newborns after birth

    • 摘要: 目的:探究16SrDNA法测定新生儿出生后粪便中肠道菌群定植情况及其临床意义。方法:选取30例新生儿作为研究对象,收集新生儿出生后10 min内、第3 天、第5 天和第7 天大便,采用16SrDNA法测定肠道菌群,计算肠道菌群丰富度(DGGE条带数)、Shannon-Wiener指数,分析新生儿肠道菌群定植情况及其临床意义。结果:出生后10 min内DGGE条带数为4.18±1.69,Shannon-Wiener指数为0.92±0.26。新生儿出生后10 min、第3天、第5天和第7天的 DGGE条带数、Shannon-Wiener指数逐渐升高(P<0.05~P<0.01);自然分娩新生儿出生后10 min内、出生后第3天、第5天肠道菌群DGGE条带数、Shannon-Wiener指数均低于剖宫产新生儿,足月产新生儿出生10 min内、出生后第3天、第5天肠道菌群DGGE条带数、Shannon-Wiener指数均低于早产新生儿,纯母乳新生儿出生后第3 天、第5天、第7天肠道菌群DGGE条带数、Shannon-Wiener指数低于非纯母乳新生儿,差异均有统计学意义(P<0.05~P<0.01)。结论:新生儿出生后10 min内粪便中存在细菌,剖宫产、早产和喂养方式均会影响新生儿肠道菌群定植情况。

       

      Abstract: Objective: To explore the 16SrDNA method to determine the colonization of intestinal flora in the feces of newborns after birth and its clinical significance. Methods: Thirty newborns were selected as the research subjects.The stools of newborns were collected within 10 minute of birth and on the third,fifth,seventh day after birth.The 16SrDNA method was used to measure the intestinal flora,calculate the intestinal flora richness (the number of DGGE bands),Shannon-Wiener index and analyze the colonization of neonatal intestinal flora. Results: The number of DGGE bands within 10 minutes of birth was (4.18±1.69) and the Shannon-Wiener index was (0.92±0.26).The number of DGGE bands and Shannon-Wiener index within 10 minutes of birth were lower than those on the third day after birth.5 d,7 d and 3 d,5 d,7 d after birth,the number of DGGE bands and Shannon-Wiener index gradually increased (P<0.05 to P<0.01).The number of DGGE bands and Shannon-Wiener index of the intestinal flora within 10 minutes of birth,the 3rd and 5th days after birth,and the Shannon-Wiener index of newborns delivered by cesarean section were all lower than those in newborns delivered by cesarean section (P<0.05 to P<0.01).The number of DGGE bands and Shannon-Wiener index of the intestinal flora within 10 minutes of birth,the 3rd and 5th days after birth,and Shannon-Wiener index of full-term newborns were lower than those of preterm newborns (P<0.05 to P<0.01).The number of DGGE bands and Shannon-Wiener index of the intestinal flora on 3 d,5 d and 7 d were lower than those of non-exclusive breast milk newborns (P<0.05 to P<0.01). Conclusions: There are bacteria in the feces of newborns within 10 minutes of birth.Cesarean section,the feeding method and premature delivery will all affect the colonization of neonatal intestinal flora after birth.

       

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