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肝炎后肝硬化病人前白蛋白合成速率的测定及临床评价 被引量:12

The Measurement of Prealbumin Synthetic Rate in Patients with Post-hepatitis Liver Cirrhosis and Its Clinical Evaluation
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摘要 目的 研究肝炎后肝硬化病人的前白蛋白合成速率与肝功能损害的关系。方法 用首次静脉推注加恒速静脉滴注1 5N -赖氨酸示踪技术测定前白蛋白的合成速率。结果 通过对 12名正常人和 2 3名肝硬化病人的测定发现 :肝炎后肝硬化病人的人体前白蛋白合成速率明显降低 ,并与肝损害程度显著相关。结论 该方法测定血浆前白蛋白合成率 ,用于探讨肝炎后肝硬化时肝脏本身蛋白质代谢障碍 ,及从动态角度认识和评价肝功能 。 Objective To explore the correlation between the prealbumin synthetic rate and liver function damage in patients with liver cirrhosis resulted from hepatitis. Methods The prealbumin synthetic rate was measured using isotope tracer technique of 15 N-lysine injected by intravenous followed by intravenous drop at constant rate in 23 patients with liver cirrhosis and 12 healthy subjects. Results Prealbumin synthetic rate in the patients decreased significantly than that in normal control(P<0 05). A positive correlation between liver function damage and the prealbumin synthetic rate was observed. Concludions The prealbumin synthetic rate assay can be served as a new method in the study of post-hepatitis liver cirrhosis and the hepatic protein metabolism dysfunction, and general liver function in these patients can be monitored by dynamic inspection of prealbumin synthetic rate.
出处 《中国医师杂志》 CAS 2004年第2期203-204,共2页 Journal of Chinese Physician
关键词 肝炎后肝硬化病 前白蛋白 合成速率 肝功能 ^15N-赖氨酸示踪技术 Liver cirrhosis Prealbumin 15 N-lysine Synthetic rate Tracer technique
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  • 1钟捷,唐振锋,夏宗勤,戴腾昌.肝炎后肝硬化病人血浆氨基酸和整体蛋白质更新速率的研究[J].中华消化杂志,1998,18(1):28-30. 被引量:12
  • 2胡蓓,王世真.慢性肾功能衰竭血透病人体内脂蛋白(VLDL—ApoB)的更新[J].中华核医学杂志,1991,11(3):169-172. 被引量:2
  • 3Halliday D, Mckeran RO. Measurement of muscle protein synthetic rate from serial muscle biopsies and total body protein turnover in man by continuous intravenous infusion of 15 N-lysine[J].Clin Sci Mol Med, 1975,49(6):581-590
  • 4Cryer DR,Matsushima T,Marsh JB,et al.Dirct measurement of apolipoprotein B synthesis in human very low density lipoprotein using stable isotopes and mass spectrometry[J]. J Lipid Res, 1986,27:508-516
  • 5Swart GR, Van Den Berg JWD, Wahimena JLD, et al. Elevated protein requirements in cirrhosis of the liver investigated by whole body protein turnover studies[J]. Clin Sci, 1988, 75:101-107

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