Straub R H, Rokitzki L, Schumacher T, Hillmann C, Palitzsch K D, Schölmerich J
Klinik und Poliklinik für Innere Medizin I, Universität Regensburg.
Med Klin (Munich). 1993 Aug 15;88(8):453-7.
The present study was aimed to determine the vitamin status of vitamins A, E, beta-carotene, B1, B2, B6, B12 and folate in plasma using HPLC and vitamins B1, B2 and B6 in erythrocytes using the apoenzyme stimulation test with the Cobas-Bio analyzer in 29 elderly type II diabetic women with (G1: n = 17, age: 68.6 +/- 3.2 years) and without (G2: n = 12, age: 71.8 +/- 2.7 years) diabetic polyneuropathy. The basic parameters as age, hemoglobin A1c, fructosamine and duration of the disease did not differ in both groups. Furthermore, retinopathy was assessed with fundoscopy and nephropathy with creatinine clearance. The creatinine clearance (G1: 50.6 +/- 3.4 vs. G2: 63.6 +/- 3.7 ml/min, 2p < 0.025) and the percentage of retinopathy (G1: 76.5% vs. G2: 16.7%, 2p = 0.002) were different indicating that G1 had significantly more severe late complications than G2. Current plasma levels of all measured vitamins (A, E, beta-carotene, B1, B2, B6, B12 and folate) and the status of B1, B2 and B6 in erythrocytes did not vary between the two groups (2p > 0.1). In summary, we found a lack of association between the actual vitamin condition in plasma and erythrocytes and diabetic neuropathy.
本研究旨在使用高效液相色谱法(HPLC)测定29名老年II型糖尿病女性患者血浆中维生素A、E、β-胡萝卜素、B1、B2、B6、B12和叶酸的维生素状态,并使用Cobas-Bio分析仪通过脱辅基酶刺激试验测定红细胞中维生素B1、B2和B6的状态。这些患者分为两组,一组患有糖尿病多发性神经病变(G1组:n = 17,年龄:68.6±3.2岁),另一组未患糖尿病多发性神经病变(G2组:n = 12,年龄:71.8±2.7岁)。两组患者的年龄、糖化血红蛋白、果糖胺和病程等基本参数并无差异。此外,通过眼底镜检查评估视网膜病变,通过肌酐清除率评估肾病。肌酐清除率(G1组:50.6±3.4 vs. G2组:63.6±3.7 ml/min,P<0.025)和视网膜病变百分比(G1组:76.5% vs. G2组:16.7%,P = 0.002)存在差异,表明G1组的晚期并发症明显比G2组严重。两组患者血浆中所有测定维生素(A、E、β-胡萝卜素、B1、B2、B6、B12和叶酸)的当前水平以及红细胞中B1、B2和B6的状态并无差异(P>0.1)。总之,我们发现血浆和红细胞中实际维生素状况与糖尿病神经病变之间缺乏关联。