Hell D, Six P
Dtsch Med Wochenschr. 1977 Jul 1;102(26):962-6. doi: 10.1055/s-0028-1104998.
Tests on 50 chronic alcoholics demonstrated that there was a reduced supply of thiamine (measured with the transketolase activation test) and riboflavine (glutathione reductase test) compared with results obtained in 1152 healthy controls. A high risk of thiamine deficiency was present in 45.4% of male and 50% of female alcoholics; risk of riboflavine deficiency was 11.1% and 16.7%, respectively. Corresponding results in the normal controls were 2% for thiamine and 0.4% for riboflavine deficiency. There was a significant relationship between enzymatic values of thiamine deficiency, on the one hand, and anaemia, abnormal liver functions (bilirubin, gamma-globulin) and low diastolic arterial pressure, on the other. Enzymatic riboflavine values also correlated with haemoglobin content, so that it is assumed that the anaemia is associated with the reduced thiamine or riboflavine supply. Enzymatic determination of pyridoxine with the GOT activation test would seem to be influenced by alcohol or by metabolic processes induced by it and is therefore not suitable in the presence of chronic alcoholism.
对50名慢性酒精中毒者的测试表明,与1152名健康对照者的结果相比,硫胺素(用转酮醇酶激活试验测定)和核黄素(谷胱甘肽还原酶试验)的供应减少。男性酒精中毒者中45.4%、女性酒精中毒者中50%存在硫胺素缺乏的高风险;核黄素缺乏的风险分别为11.1%和16.7%。正常对照者中硫胺素缺乏和核黄素缺乏的相应比例分别为2%和0.4%。一方面,硫胺素缺乏的酶值与贫血、肝功能异常(胆红素、γ-球蛋白)和舒张压降低之间存在显著关系。酶促核黄素值也与血红蛋白含量相关,因此推测贫血与硫胺素或核黄素供应减少有关。用谷草转氨酶激活试验对吡哆醇进行酶促测定似乎受酒精或其诱导的代谢过程影响,因此在慢性酒精中毒情况下不适用。