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脊髓损伤患者的锌与骨质疏松症

Zinc and osteoporosis in patients with spinal cord injury.

作者信息

Ohry A, Shemesh Y, Zak R, Herzberg M

出版信息

Paraplegia. 1980 Jun;18(3):174-80. doi: 10.1038/sc.1980.30.

Abstract

Thirty-eight patients (8 women and 30 men) with spinal cord injury were investigated. All had been immobilised after the traumatic event. The time elapsed since their accidents varied from 2 to 74 weeks. Blood and urine samples were collected to investigated calcium, zinc, magnesium, sodium, alkaline phosphate, phosphore, haemoglobin, creatinine, uric acid and proteins in blood, and the urinary excretion of phosphore, hydroxyproline, creatinine, amino acids, calcium, calcium, magnesium and zinc. The methods were estimately by atomic absorption spectrophotometry. The serum zinc levels did not differ statistically from normal and the calcium and magnesium levels in the serum were lower among the patients than in normal controls. The urinary excretion of zinc, calcium, phosphore and hydroxyproline was higher among the patients without correlation to the patients' age. The zinc excretion is negatively correlated to the time elapsed since the injury, but it is still high 3 months after trauma. The highly significant correlation between urinary zinc and hydroxyproline excretion, together with increased calcium and phosphore excretion, suggests that zinc may be involved in the process of osteoporosis in patients with spinal cord injury.

摘要

对38例脊髓损伤患者(8名女性和30名男性)进行了调查。所有患者在创伤事件后均已固定。自事故发生以来的时间间隔为2至74周。采集血液和尿液样本,以检测血液中的钙、锌、镁、钠、碱性磷酸酶、磷、血红蛋白、肌酐、尿酸和蛋白质,以及尿液中磷、羟脯氨酸、肌酐、氨基酸、钙、镁和锌的排泄情况。采用原子吸收分光光度法进行测定。患者血清锌水平与正常水平无统计学差异,血清钙和镁水平低于正常对照组。患者尿液中锌、钙、磷和羟脯氨酸的排泄量较高,且与患者年龄无关。锌排泄与受伤后的时间呈负相关,但创伤后3个月仍处于较高水平。尿锌与羟脯氨酸排泄之间的高度显著相关性,以及钙和磷排泄增加,表明锌可能参与脊髓损伤患者骨质疏松的过程。

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