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抑郁症患者在服用L-色氨酸后24小时尿液中的黄尿酸流量。

Xanthurenic acid flow in 24-hour urine following L-tryptophan loading in depressive patients.

作者信息

Maes M, De Ruyter M, Suy E

出版信息

Acta Psychiatr Belg. 1986 Mar-Apr;86(2):120-30.

PMID:3728057
Abstract

The xanthurenic acid (XA) flow in 24-hour urine following L-tryptophan loading was determined in a control group and in depressive patients divided into two DSM-III categories: minor depression (dysthymic disorder, atypical depression, adaptation disorder with depressive mood), and major depression. The XA flow is not significantly (p = 0.15) different in these categories of depression and in the control group. The number of patients with an abnormal XA flow (cut-off value greater than or equal to 106.8 mu mol/24 hours) is not significantly different among these groups (p = 0.40). The XA flow is therefore not relevant whether for depression or major depression. The XA flow in 24-hour urine following L-tryptophan loading decreases with age (p = 0.006) and increases with the 24-hour urinary output (p = 0.02). Women excrete significantly more XA (p = 0.02) than men. One must take age, 24-hour urinary output and sex into account for the interpretation of the XA data.

摘要

在对照组以及被分为两个DSM-III类别的抑郁症患者(轻度抑郁症,即恶劣心境障碍、非典型抑郁症、伴抑郁情绪的适应障碍,和重度抑郁症)中,测定了L-色氨酸负荷后24小时尿中的黄尿酸(XA)流量。在这些抑郁症类别和对照组中,XA流量没有显著差异(p = 0.15)。XA流量异常(临界值大于或等于106.8 μmol/24小时)的患者数量在这些组之间没有显著差异(p = 0.40)。因此,XA流量无论是对于抑郁症还是重度抑郁症都没有相关性。L-色氨酸负荷后24小时尿中的XA流量随年龄下降(p = 0.006),并随24小时尿量增加(p = 0.02)。女性排泄的XA显著多于男性(p = 0.02)。在解释XA数据时,必须考虑年龄、24小时尿量和性别。

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