Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1990-6-13
|
pubmed:abstractText |
One hundred forty-one amniotic fluid samples were analyzed for disaturated phosphatidylcholine (DSPC), phosphatidylglycerol (PG) and the lecithin/sphingomyelin (L/S) ratio. The L/S ratio was measured by two-dimensional thin layer chromatography. Mature levels (positive) were defined as an L/S ratio of 2:1 or more, a DSPC level of 100 micrograms/ml or more and a detectable level of PG. The DSPC value agreed with the L/S ratio in 114 samples (80.9%). Fourteen of 17 infants with respiratory distress syndrome (RDS) (82.4%) had immature L/S ratios and immature DSPC levels. RDS developed in 16 of 40 (40%) children with immature L/S ratios, and in 15 of 33 (45.5%) children with immature DSPC levels. The true-positive rates of the L/S ratio and DSPC levels were 99.0 and 98.1%, respectively. PG had a low true-negative rate, as only 17 of 67 (25.4%) samples without detectable levels of PG were associated with RDS. However, when PG was present, it had a 100% predictive value of no-RDS. In conclusion, DSPC is nearly equal to the L/S ratio measured by two-dimensional as concerns diagnostic accuracy. PG is useful as an additional index for predicting lung maturation.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0378-7346
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
29
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
92-6
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:2335315-Amniotic Fluid,
pubmed-meshheading:2335315-Chromatography, Thin Layer,
pubmed-meshheading:2335315-Female,
pubmed-meshheading:2335315-Humans,
pubmed-meshheading:2335315-Infant, Newborn,
pubmed-meshheading:2335315-Phosphatidylcholines,
pubmed-meshheading:2335315-Phosphatidylglycerols,
pubmed-meshheading:2335315-Pregnancy,
pubmed-meshheading:2335315-Prenatal Diagnosis,
pubmed-meshheading:2335315-Respiratory Distress Syndrome, Newborn,
pubmed-meshheading:2335315-Sphingomyelins
|
pubmed:year |
1990
|
pubmed:articleTitle |
Comparison of amniotic fluid disaturated phosphatidylcholine, phosphatidylglycerol and lecithin/sphingomyelin ratio in predicting the risk of developing neonatal respiratory distress syndrome.
|
pubmed:affiliation |
Department of Obstetrics and Gynecology, Akita University School of Medicine, Japan.
|
pubmed:publicationType |
Journal Article,
Comparative Study
|