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锌和铜紊乱对酒精依赖患者身心健康状态的影响。

Effect of Disturbances of Zinc and Copper on the Physical and Mental Health Status of Patients with Alcohol Dependence.

机构信息

Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.

Department of Pharmacodynamics, Centre for Preclinical, Research and Technology (CePT), Medical University of Warsaw, Warsaw, Poland.

出版信息

Biol Trace Elem Res. 2018 May;183(1):9-15. doi: 10.1007/s12011-017-1113-0. Epub 2017 Aug 12.

Abstract

The concentrations of copper and zinc in the tissues of alcohol-addicted people can significantly correlate with the variables describing their mental state. Studies on the homeostasis of zinc in alcohol-dependent patients have often been characterized by low hypozincemia detection. This may be caused by a low content of zinc in blood serum (1%) compared to the average zinc level in the body. Unfortunately, most authors have identified extracellular zinc in their studies. In the available literature, data on the level of copper in patients suffering from alcohol dependence are inconsistent. Our study included 100 alcohol-addicted patients (the study group) and 50 healthy subjects (the control group). Mental state was measured using appropriate psychometric scales. We used inductively coupled plasma mass spectrometry (ICP-MS) to determine copper and zinc content. Our results confirm the purposefulness of the use of zinc concentration in erythrocytes as a diagnostic parameter for low zinc status in alcohol-dependent patients. Alcohol-dependent patients with reduced concentrations of zinc in erythrocytes/copper in blood plasma differed significantly from alcohol-dependent patients with normal concentrations in terms of clinical parameters. With regard to zinc in blood plasma and copper in erythrocytes, this situation has not been found. The clinical symptoms of hypozincemia and copper deficiency in patients addicted to alcohol usually relate to disorders in central nervous system functioning, and they result in a decreased quality of physical and mental life.

摘要

酗酒者组织中铜和锌的浓度与描述其精神状态的变量显著相关。对酒精依赖患者体内锌稳态的研究,往往表现为低低锌血症的检出率。这可能是由于与体内平均锌水平相比,血清锌含量较低(1%)所致。不幸的是,大多数作者在研究中都确定了细胞外锌。在现有的文献中,关于铜在酒精依赖患者中的水平的数据是不一致的。我们的研究纳入了 100 名酗酒者(研究组)和 50 名健康受试者(对照组)。精神状态使用适当的心理计量学量表进行测量。我们使用电感耦合等离子体质谱法(ICP-MS)来确定铜和锌的含量。我们的研究结果证实了使用红细胞中锌浓度作为诊断酒精依赖患者低锌状态的参数的合理性。红细胞中锌浓度降低/血浆中铜浓度降低的酒精依赖患者在临床参数方面与锌浓度正常的酒精依赖患者有显著差异。而在血浆锌和红细胞铜方面,并未发现这种情况。酒精依赖患者的低锌血症和铜缺乏症的临床症状通常与中枢神经系统功能障碍有关,导致身体和精神生活质量下降。

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