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儿童和青少年智力障碍患者的血清谷氨酸草酰乙酸转氨酶(GOT)和谷氨酸丙酮酸转氨酶(GPT)水平。

Serum glutamic-oxaloacetic transaminase (GOT) and glutamic-pyruvic transaminase (GPT) levels in children and adolescents with intellectual disabilities.

机构信息

School of Public Health, National Defense Medical Center, Taipei, Taiwan.

出版信息

Res Dev Disabil. 2010 Jan-Feb;31(1):172-7. doi: 10.1016/j.ridd.2009.08.005. Epub 2009 Oct 13.

Abstract

The elevated serum glutamic-oxaloacetic transaminase (GOT) and glutamic-pyruvic transaminase (GPT) rate among people with intellectual disabilities (ID) is unknown and have not been sufficiently studies. The present paper aims to provide the profile of GOT and GPT, and their associated relationship with other biochemical levels of children or adolescents with ID. A cross-sectional design was conducted in three Taiwanese public special schools to analyze annual health examination chart of students with ID. There were 1041 aged 3-21 years children and adolescents with ID participated in the study. The results show elevated rate of GOT and GPT were 3.7% and 7.2%, the study indicates the elevated GPT in children and adolescents with ID is higher than the general school aged children in Taiwan. In multiple linear regression models show that the factors of BMI, HBsAg, TC and UA can significantly explain the GOT value (R(2)=0.275). Those factors of gender, BMI, HBsAg, TC and UA can significantly explain 44.4% variation of GPT value (R(2)=0.444). To prevent the further liver disease burden in people with ID, the study highlights that the health care professionals should assess liver functions of this group of people, and to inform their caregivers the importance of implement regular liver health check-up.

摘要

血清谷氨酸草酰乙酸转氨酶(GOT)和谷氨酸丙酮酸转氨酶(GPT)在智力障碍(ID)人群中的升高率尚不清楚,也未得到充分研究。本文旨在提供 ID 儿童或青少年 GOT 和 GPT 的特征及其与其他生化水平的相关关系。在台湾的三所公立特殊学校中进行了横断面设计,以分析 ID 学生的年度健康检查图表。共有 1041 名 3-21 岁的 ID 儿童和青少年参与了这项研究。结果显示 GOT 和 GPT 的升高率分别为 3.7%和 7.2%,研究表明 ID 儿童和青少年的 GPT 升高高于台湾一般学龄儿童。在多元线性回归模型中,BMI、HBsAg、TC 和 UA 等因素可显著解释 GOT 值(R²=0.275)。性别、BMI、HBsAg、TC 和 UA 等因素可显著解释 GPT 值 44.4%的变异(R²=0.444)。为了防止 ID 人群的肝脏疾病负担进一步加重,本研究强调医疗保健专业人员应评估该人群的肝功能,并告知其照顾者定期进行肝脏健康检查的重要性。

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