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[慢性酒精中毒中羟脯氨酸尿症评估的意义探讨(作者译)]

[Discussion of the interest of estimation of hydroxyprolinuria in chronic alcoholism (author's transl)].

作者信息

Patouillard G, Farjanel J, Cordier S, Bayle J J, Frey J

出版信息

Ann Biol Clin (Paris). 1978;36(1):19-22.

PMID:80146
Abstract

24 hour hydroxyprolinuria was measured in 50 chronic alcoholics divided up into those with simple alcoholism and those complicated by cirrhosis. All the patients had a significant increase in hydroxyprolinuria. Without there being any difference between cirrhotics and alcoholics without cirrhosis. Comparison between hydroxyprolinuria and the tests usually used to follow the course of hepatic involvement in chronic alcoholism: IgA, transferrin, electrophoresis of serum proteins, alkaline phosphatase, show that there is no correlation between hydroxyprolinuria and the diagnostic or prognostic tests of an alcoholic liver among which the variable IgA is the most significant. On the other hand, hydroxyprolinuria has a linear correlation with the calciuria, which suggests that the increase in hydroxyprolinuria in chronic alcoholics is more related to changes in the collagen of bone tissue than with those in liver tissue.

摘要

对50名慢性酒精中毒患者进行了24小时羟脯氨酸尿测量,这些患者被分为单纯酒精中毒患者和并发肝硬化的患者。所有患者的羟脯氨酸尿均显著增加。肝硬化患者和无肝硬化的酒精中毒患者之间没有差异。羟脯氨酸尿与通常用于跟踪慢性酒精中毒肝脏受累过程的检查(IgA、转铁蛋白、血清蛋白电泳、碱性磷酸酶)之间的比较表明,羟脯氨酸尿与酒精性肝病的诊断或预后检查之间没有相关性,其中变量IgA最为显著。另一方面,羟脯氨酸尿与尿钙呈线性相关,这表明慢性酒精中毒患者羟脯氨酸尿的增加与骨组织胶原蛋白的变化比与肝组织的变化更相关。

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