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自我感觉患有电磁超敏反应(EHS)患者的血液实验室检查结果。

Blood laboratory findings in patients suffering from self-perceived electromagnetic hypersensitivity (EHS).

作者信息

Dahmen Norbert, Ghezel-Ahmadi David, Engel Alice

机构信息

Department of Psychiatry, University of Mainz, Germany.

出版信息

Bioelectromagnetics. 2009 May;30(4):299-306. doi: 10.1002/bem.20486.

Abstract

Risks from electromagnetic devices are of considerable concern. Electrohypersensitive (EHS) persons attribute a variety of rather unspecific symptoms to exposure to electromagnetic fields. The pathophysiology of EHS is unknown and therapy remains a challenge. We hypothesized that some electrosensitive individuals are suffering from common somatic health problems. Toward this end we analysed clinical laboratory parameters including thyroid-stimulating hormone (TSH), alanine transaminase (ALT), aspartate transaminase (AST), creatinine, hemoglobine, hematocrit and c-reactive protein (CRP) in subjects suffering from EHS and in controls that are routinely used in clinical medicine to identify or screen for common somatic disorders. One hundred thirty-two patients (n = 42 males and n = 90 females) and 101 controls (n = 34 males and n = 67 females) were recruited. Our results identified laboratory signs of thyroid dysfunction, liver dysfunction and chronic inflammatory processes in small but remarkable fractions of EHS sufferers as potential sources of symptoms that merit further investigation in future studies. In the cases of TSH and ALT/AST there were significant differences between cases and controls. The hypotheses of anaemia or kidney dysfunction playing a major role in EHS could be unambiguously refuted. Clinically it is recommended to check for signs of treatable somatic conditions when caring for individuals suffering from self-proclaimed EHS.

摘要

电磁设备带来的风险备受关注。电磁超敏反应(EHS)患者将各种不太特异的症状归因于电磁场暴露。EHS的病理生理学尚不清楚,治疗仍是一项挑战。我们推测一些对电敏感的个体患有常见的躯体健康问题。为此,我们分析了临床实验室参数,包括促甲状腺激素(TSH)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、肌酐、血红蛋白、血细胞比容和C反应蛋白(CRP),这些参数常用于临床医学中识别或筛查常见的躯体疾病,研究对象包括EHS患者和对照组。招募了132名患者(42名男性和90名女性)和101名对照(34名男性和67名女性)。我们的结果在一小部分但数量可观的EHS患者中发现了甲状腺功能障碍、肝功能障碍和慢性炎症过程的实验室迹象,这些可能是值得未来研究进一步调查的症状来源。在TSH以及ALT/AST方面,病例组和对照组之间存在显著差异。贫血或肾功能障碍在EHS中起主要作用的假设可以被明确反驳。临床上建议在护理自称患有EHS的个体时,检查是否有可治疗的躯体疾病迹象。

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