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[老年医学中的参考范围:对选定血液成分年龄依赖性的综述]

[Reference ranges in geriatrics: a review of age-dependence of selected blood components].

作者信息

Harm K

机构信息

Klinikum Nord Ochsenzoll, Abteilung für Laboratoriumsmedizin, Hamburg.

出版信息

Z Gerontol Geriatr. 1997 May-Jun;30(3):185-92.

PMID:9333449
Abstract

An age dependency of blood components is well documented especially in childhood. Less investigated is the situation in the elderly population. Study of the literature and our own investigations show that concentrations of several analytes remain constant throughout adulthood, but many of them increase or decrease with age. The interindividual variability of most parameters is higher in elderly people than in younger adults. Therefore, it is not recommended at the present time to use special adapted reference intervals, because the larger variation of values in higher ages could be affected by the inclusion of diseased individuals in the reference population. Also in high ages, where biochemical individuality is largely maintained, intraindividual reference ranges should be preferred. Thus, latent diseases could be detected much earlier than by transversal evaluation of data.

摘要

血液成分的年龄依赖性已有充分记录,尤其是在儿童时期。而老年人群中的情况则较少受到研究。对文献的研究以及我们自己的调查表明,几种分析物的浓度在成年期保持恒定,但其中许多会随着年龄增长而增加或减少。大多数参数的个体间变异性在老年人中比在年轻人中更高。因此,目前不建议使用特殊调整的参考区间,因为较高年龄组中值的较大变异可能会受到参考人群中纳入患病个体的影响。同样在高龄人群中,生化个体性在很大程度上得以维持,应优先采用个体内参考范围。这样,潜在疾病可比通过横向数据评估更早被检测到。

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