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[甲状腺功能亢进、甲状腺功能减退和丙种球蛋白病中的果糖胺值]

[Fructosamine values in hyperthyroidism, hypothyroidism and gammopathy].

作者信息

Weijers R N, Slaats E H, Kruijswijk H

机构信息

Department of Clinical Chemistry, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.

出版信息

Wien Klin Wochenschr Suppl. 1990;180:21-4; discussion 32-3.

PMID:2321386
Abstract

Fructosamine values in two groups of hypo- and hyperthyroid patients were compared with the values in a reference group of non-diabetics. In hyperthyroid patients the fructosamine values were significantly lower than in the reference group. Also the mean concentrations of albumin and total protein in serum are significantly lower for hyperthyroid patients compared to hypothyroid patients. The results do not provide evidence for a simple relationship between fructosamine and protein values in these patient groups. Therefore we do not recommend to relate fructosamine to protein or albumin using correction factors. Under conditions of thyrotoxicosis fructosamine is no reliable indicator of previous serum glucose concentrations. The test is not affected by monoclonal IgG gammopathy.

摘要

将两组甲状腺功能减退和亢进患者的果糖胺值与非糖尿病参考组的值进行了比较。甲状腺功能亢进患者的果糖胺值显著低于参考组。与甲状腺功能减退患者相比,甲状腺功能亢进患者血清中白蛋白和总蛋白的平均浓度也显著降低。结果并未证明这些患者组中果糖胺与蛋白质值之间存在简单关系。因此,我们不建议使用校正因子将果糖胺与蛋白质或白蛋白相关联。在甲状腺毒症情况下,果糖胺不是先前血清葡萄糖浓度的可靠指标。该测试不受单克隆IgG丙种球蛋白病的影响。

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