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锌原卟啉与儿童铅中毒和贫血关系的研究 被引量:5

Study on the Relation between Zinc Protoporphyrin and Children with Iron Deficiency Anemia and Lead Poisoning
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摘要 [目的 ]探讨锌原卟啉测定诊断儿童铅中毒与贫血可能性。 [方法 ]测定了 2 3 5名儿童血ZPP、Hb、BPb。 [结果 ]ZPP值 2 3 9± 1 0 2 μg/gHb ,增高率 1 3 61 % ;血铅水平 8 94± 4 62 μg/dL ,铅中毒率 41 0 7%。Hb平均浓度 1 1 2 5 0± 1 0 5 5g/L ,贫血患病率 3 1 48%。ZPP与Hb呈高度负相关 (P <0 0 1 ) ,与BPb无相关性 (P >0 0 5 )。血铅水平正常组与铅中毒组ZPP值差异无显著意义(P >0 0 5 )。Hb正常组与贫血组ZPP值差异有显著意义 (P <0 0 1 )。 [结论 ]ZPP升高可作为缺铁性贫血的诊断指标 ,但在血铅水平较低的地区 ,则不宜用ZPP作为儿童铅中毒的筛查指标。 To search for the value of zinc protoporphyrin measurement in early diagnosis with lead poisoning and iron deficiency anemia.The blood ZPP,Hb,Pb were determined in 235 children. The level of ZPP in blood was 2 39±1 02 μg/gHb,the incidence of rising was 13 61%.The level of blood lead was 8 94±4 62 μg/dL,the incidence of lead poisoning was 41 07%,the average concentration of Hb was 112 50±10 55 g/L,the incidence of anemia was 31 48%.There was a high negative correlation between ZPP and Hb concentration ( P <0 05).The level of ZPP in the bolld has no significant difference between normal and lead poisoning children,but there was a significant difference between normal and children with anemia.[Conclusion] ZPP is a useful index of diagnosis of iron deficiency anemia,when there was a lower level of blood lead in children,it wasn't a useful index of diagnosis of lead poisoning.
出处 《广东微量元素科学》 CAS 2003年第4期47-49,共3页 Trace Elements Science
关键词 儿童 锌原卟啉 铅中毒 缺铁性贫血 筛查 children zinc protoporphyrin lead poisoning iron deficiency anemia screen
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  • 1章依文,沈晓明,丁桂英,颜崇淮,何稼敏,敖黎明,周建德.锌卟啉在儿童铅中毒筛查中的应用价值[J].广东微量元素科学,1998,5(6):1-3. 被引量:5
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  • 3US CDC. Preventing lead poisoning in young children. A statement by the CDC [R]. January 1985.
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  • 8Andrew M, et al. Erythrocyte protoporphyrin in the detection of iron deficiency [J]. Am Clin Nutr, 1991, 54: 1071.

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