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胰腺功能测试:血清对氨基苯甲酸测量是外分泌功能的可靠且准确的测量方法。

Pancreatic function testing: serum PABA measurement is a reliable and accurate measurement of exocrine function.

作者信息

Tanner A R, Robinson D P

机构信息

Department of Medicine, North Tees General Hospital, Stockton on Tees, Cleveland.

出版信息

Gut. 1988 Dec;29(12):1736-40. doi: 10.1136/gut.29.12.1736.

DOI:10.1136/gut.29.12.1736
PMID:3265404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1434113/
Abstract

A comparison between the NBT-PABA/14C-PABA test (NBT-PABA, n-benzoyl-tyrosyl para-aminobenzoic acid) using the PABA excretion index (PEI) and serum PABA estimation at 90 minutes has been made in 42 consecutive subjects attending for investigation of possible pancreatic disease to a District General Hospital (DGH). The PEI was unobtainable or incorrect on 38% of occasions compared with 9% for the serum test. Sensitivity, specificity, and efficiency for the PEI (n = 33 valid results) were 71%, 88%, and 79% respectively and for the serum PABA (n = 41 valid results), 95%, 90%, and 93% respectively. These results confirm that measurement of serum PABA is a simpler, more reliable, and a more accurate method of assessing pancreatic function.

摘要

在一家地区综合医院(DGH),对42名因可能患有胰腺疾病前来就诊的连续患者进行了一项比较,该比较采用对氨基苯甲酸排泄指数(PEI)的对硝基苯甲酰-对氨基苯甲酸/¹⁴C-对氨基苯甲酸试验(NBT-PABA,正苯甲酰-酪氨酰对氨基苯甲酸),并在90分钟时测定血清对氨基苯甲酸。与血清检测9%的情况相比,PEI在38%的情况下无法获得或结果不正确。PEI(n = 33个有效结果)的敏感性、特异性和效率分别为71%、88%和79%,血清对氨基苯甲酸(n = 41个有效结果)的敏感性、特异性和效率分别为95%、90%和93%。这些结果证实,测定血清对氨基苯甲酸是一种更简单、更可靠且更准确的评估胰腺功能的方法。

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Pancreatic function testing: serum PABA measurement is a reliable and accurate measurement of exocrine function.胰腺功能测试:血清对氨基苯甲酸测量是外分泌功能的可靠且准确的测量方法。
Gut. 1988 Dec;29(12):1736-40. doi: 10.1136/gut.29.12.1736.
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本文引用的文献

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Use of receiver operating characteristic curves to evaluate the clinical performance of analytical systems.
Clin Chem. 1981 Sep;27(9):1569-74.
2
An evaluation of the one-day NBT-PABA/14C-PABA in the assessment of pancreatic exocrine insufficiency.
Digestion. 1984;29(1):42-6. doi: 10.1159/000199007.
3
Value of serum PABA as a pancreatic function test.血清对氨基苯甲酸作为胰腺功能试验的价值。
Gut. 1984 May;25(5):508-12. doi: 10.1136/gut.25.5.508.
4
Observations on the BT PABA/14C-PABA tubeless test of pancreatic function.关于胰腺功能的BT对氨基苯甲酸/14C-对氨基苯甲酸无管试验的观察
Clin Chim Acta. 1983 Jun 15;130(3):339-47. doi: 10.1016/0009-8981(83)90308-x.
5
Relationship between PABA and Lundh tests: lack of influence of duodenal pH in vivo.对氨基苯甲酸(PABA)与伦德试验之间的关系:十二指肠pH值在体内无影响。
Clin Chim Acta. 1983 Feb 28;128(1):115-24. doi: 10.1016/0009-8981(83)90061-x.
6
BT-PABA test with plasma PABA measurements: evaluation of sensitivity and specificity.采用血浆对氨基苯甲酸(PABA)测量的BT-PABA试验:敏感性和特异性评估
Gut. 1983 Apr;24(4):318-25. doi: 10.1136/gut.24.4.318.
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Prospective comparison of three non-invasive tests for pancreatic disease.三种胰腺疾病非侵入性检测方法的前瞻性比较。
Br Med J (Clin Res Ed). 1984 Sep 29;289(6448):830. doi: 10.1136/bmj.289.6448.830.
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BT-Paba test in the diagnosis of pancreatic exocrine insufficiency in cystic fibrosis: urinary and serum determinations compared.苯替酪胺试验在诊断囊性纤维化患者胰腺外分泌功能不全中的应用:尿和血清检测结果比较
Eur J Pediatr. 1984 Dec;143(2):145-8. doi: 10.1007/BF00445804.
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Brief study of the urinary PABA test for assessment of pancreatic exocrine function.用于评估胰腺外分泌功能的尿对氨基苯甲酸试验的简要研究。
Clin Chem. 1984 Sep;30(9):1580.
10
Pancreolauryl and NBT-PABA tests. Are serum tests more practicable alternatives to urine tests in the diagnosis of exocrine pancreatic insufficiency?胰月桂醇和对氨基苯甲酸试验。在诊断外分泌性胰腺功能不全时,血清检测是否是比尿液检测更实用的替代方法?
Gastroenterology. 1986 Feb;90(2):350-4.