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氨基酸混合物在苯丙酮尿症治疗中的应用。

Use of an amino acid mixture in treatment of phenylketonuria.

作者信息

Bentovim A, Clayton B E, Francis D E, Shepherd J, Wolff O H

出版信息

Arch Dis Child. 1970 Oct;45(243):640-50. doi: 10.1136/adc.45.243.640.

DOI:10.1136/adc.45.243.640
PMID:5477678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1647539/
Abstract

Twelve children with phenylketonuria diagnosed and treated from the first few weeks of life were grouped into pairs. Before the trial all of them were receiving a commercial preparation containing a protein hydrolysate low in phenylalanine (Cymogran, Allen and Hanburys Ltd.) as a substitute for natural protein. One of each pair was given an amino acid mixture instead of Cymogran for about 6 months. Use of the mixture involved considerable modification of the diet, and in particular the inclusion of greater amounts of phenylalanine-free foods. All six accepted the new mixture without difficulty, food problems were greatly reduced, parents welcomed the new preparation, and the quality of family life improved. Normal growth was maintained and with a mixture of l amino acids the plasma and urinary amino acid levels were normal. Further studies are needed before the mixture can be recommended for children under 20 months of age.

摘要

12名从出生后最初几周就被诊断并接受治疗的苯丙酮尿症患儿被分成了几组。在试验前,他们都在服用一种含有低苯丙氨酸蛋白水解物的商业制剂(Cymogran,艾伦和汉伯里有限公司)来替代天然蛋白质。每组中的一名患儿服用氨基酸混合物替代Cymogran,持续约6个月。使用该混合物需要对饮食进行相当大的调整,特别是要增加无苯丙氨酸食物的摄入量。所有6名患儿都顺利接受了新的混合物,食物问题大幅减少,家长对新制剂表示欢迎,家庭生活质量得到改善。患儿保持了正常生长,使用L-氨基酸混合物时血浆和尿液中的氨基酸水平正常。在该混合物可被推荐用于20个月以下儿童之前,还需要进一步研究。

相似文献

1
Use of an amino acid mixture in treatment of phenylketonuria.氨基酸混合物在苯丙酮尿症治疗中的应用。
Arch Dis Child. 1970 Oct;45(243):640-50. doi: 10.1136/adc.45.243.640.
2
[Experience with treatment of children with phenylketonuria].
Zh Nevropatol Psikhiatr Im S S Korsakova. 1969;69(10):1521-5.
3
Nutritional management in phenylketonuria.
Am J Dis Child. 1971 Jul;122(1):1-6. doi: 10.1001/archpedi.1971.02110010037001.
4
[Phenylketonuria. II. Treatment].
Pediatr Pol. 1967 Oct;42(10):1193-201.
5
An investigation of the hyperaminoaciduria in phenylketonuria associated with the feeding of certain commercial low-phenylalanine preparations.对苯丙酮尿症中高氨基酸尿症与某些市售低苯丙氨酸制剂喂养相关性的调查。
Br J Nutr. 1970 Jun;24(2):573-80. doi: 10.1079/bjn19700055.
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Phenylketonuria and scleroderma.苯丙酮尿症和硬皮病。
J Pediatr. 1968 Oct;73(4):571-5. doi: 10.1016/s0022-3476(68)80272-0.
7
[Treatment of phenylketonuria. Principles, management and importance of a phenylalanine-free protein hydrolysate].[苯丙酮尿症的治疗。无苯丙氨酸蛋白水解物的原理、管理及重要性]
Ann Pediatr (Paris). 1971 Feb 2;18(2):109-17.
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[Treatment of phenylketonuria with a new phenylalanine-free protein hydrolysate (Albumaid XP). II. Practical application and effect on weight, height and bone development in 21 days].[用新型无苯丙氨酸蛋白水解物(Albumaid XP)治疗苯丙酮尿症。II. 21天内的实际应用及对体重、身高和骨骼发育的影响]
Ann Pediatr (Paris). 1972 Jun-Jul;19(6):469-80.
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[Diet in phenylketonuria].[苯丙酮尿症的饮食]
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[The incidence of phenylketonuria and the evaluation of its early treatment].[苯丙酮尿症的发病率及其早期治疗评估]
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2
Protein Substitutes in PKU; Their Historical Evolution.苯丙酮尿症中的蛋白质替代品:它们的历史演变。
Nutrients. 2021 Feb 2;13(2):484. doi: 10.3390/nu13020484.
3
Phenylketonuria.苯丙酮尿症
J Med Genet. 1971 Mar;8(1):37-40. doi: 10.1136/jmg.8.1.37.
4
Concentration of trace metals in the blood of children.儿童血液中痕量金属的浓度。
Br J Prev Soc Med. 1973 May;27(2):100-7. doi: 10.1136/jech.27.2.100.
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Comparison of an amino acid mixture and protein hydrolysates in treatment of infants with phenylketonuria.氨基酸混合物与蛋白质水解产物治疗苯丙酮尿症婴儿的比较。
Arch Dis Child. 1975 Nov;50(11):864-70. doi: 10.1136/adc.50.11.864.
6
Evaluation of a new mineral and trace metal supplement for use with synthetic diets.一种用于合成饲料的新型矿物质和微量金属补充剂的评估。
Arch Dis Child. 1977 Jan;52(1):62-7. doi: 10.1136/adc.52.1.62.

本文引用的文献

1
Dietary and Biochemical Control of Phenylketonuria.苯丙酮尿症的饮食与生化控制
Br Med J. 1961 Sep 23;2(5255):793-8. doi: 10.1136/bmj.2.5255.793.
2
A METHOD FOR FEEDING THE PHENYLKETONURIC INFANT.一种喂养苯丙酮尿症婴儿的方法。
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Behavioural characteristics of primary school children referred to a psychiatric department.转介至精神科的小学生的行为特征。
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Psychosocial factors in phenylketonuria.苯丙酮尿症中的社会心理因素。
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The dietary treatment of phenylketonuria: not proven?苯丙酮尿症的饮食治疗:未经证实?
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Br Med J. 1967 Jul 15;3(5558):133-6. doi: 10.1136/bmj.3.5558.133.
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Legislation and advances in medical knowledge--acceleration or inhibition?立法与医学知识的进步——促进还是抑制?
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Phenylketonuria and intelligence: trimodal response to dietary treatment.
Nature. 1969 Feb 15;221(5181):639-42. doi: 10.1038/221639a0.
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Diagnosis and treatment of tyrosinosis.酪氨酸血症的诊断与治疗。
Arch Dis Child. 1968 Oct;43(231):540-7. doi: 10.1136/adc.43.231.540.
10
Albumin excretion as a measure of glomerular dysfunction in children.白蛋白排泄作为儿童肾小球功能障碍的一项指标。
Arch Dis Child. 1970 Aug;45(242):496-501. doi: 10.1136/adc.45.242.496.