反复呼吸道感染与血清中微量元素关系的研究

反复呼吸道感染是儿科的常见病、多发病 ,研究表明 ,RRTI患儿急性期血清铁、锌明显降低 ,且感染发作频率与铁、锌下降程度有关[1] 。作者旨在通过对 68例 RRTI患儿 ,67例营养不良患儿及 5 6例健康儿童血清硒、铁、铜、锌、铅、钙、镁 7种元素含量的测定分析及比较 ,为临床诊断及治疗提供参考。1　材料与方法1 .1　主要仪器与试剂WYX— 90 0 3型原子吸收分光光度计 (沈阳分析仪器厂 ) ,WHG— 1 0 2 A2型流动注射氢化物发生器 (北京瀚时制作所 ) ,管式自控电热消化器(北京化工研究院 ) ,硒、铅、铁、锌、铜、钙、镁 7种元素分析物质均属…     

血镁水平与糖尿病肾病

为探讨糖尿病肾病 (DN)患者血镁水平 ,以 1 5 9例 2型糖尿病 (T2DM)患者为研究对象 ,用xylidylblue比色法测定了其正常白蛋白尿期、微量白蛋白尿期 (早期DN)、临床DN及晚期DN血镁水平 ,与 2 0例正常对照组相比较 ;同时将 1 1 0例DN患者分为肾功能不全代偿组、失代偿组和肾功能衰竭组 ,将其血镁水平与 1 0 2例慢性肾小球肾炎 (CGN)患者相比较 ,组间比较采用t检验 ;对 79例T2DM正常白蛋白尿期及微量白蛋白尿期患者尿白蛋白排泄率 (UAER)与血镁水平进行了等级相关分析。结果表明 ,T2DM正常白蛋白尿期、早期DN及临床DN血镁水平降低 ,晚期DN血镁水平升高 ,各组与正常对照组相比存在显著性差异 (P <0 0 5或P <0 0 1 ) ;T2DMDN及CGN肾功能不全代偿期、失代偿期及肾功能衰竭期血镁水平渐升高 ,且肾功能处于同一期的DN和CGN相比 ,前者血镁水平均较后者显著降低 (P <0 0 1或P <0 0 5 ) ;T2DM正常白蛋白尿期和微量白蛋白尿期血镁水平与UAER呈负相关 (r=0 5 47,P <0 0 1 )。提示T2DM患者肾功能正常时存在低镁倾向 ,但晚期DN血镁水平升高 ;随着肾功能不全进展 ,DN和CGN患者血镁水平升高 ,但前者血镁水平仍较后者低 ,镁代谢紊乱与DM及其并发症的相互关系有待进一步研究 ;血镁水平测定可否作为DN的早期诊断指标亦     

糖尿病患者血清中钙镁锌铜锰含量的研究

测定了１１例糖尿病患者血清中钙，镁，锌，铜，锰的含量，与对照组比较，结果表明，血清钙，镁的含量降低，血清铜的含量升高，血清锌和锰的含量降低。上述元素可用于糖尿病的辅助诊断与防治。     

妊娠期糖尿病妇女血清中元素含量的变化

糖尿病与体内微量元素的不平衡密切相关。妇女在妊娠期中容易发生糖耐量异常和妊娠期糖尿病,因此研究这些孕妇血清中元素含量的变化,对弄清妊娠期糖尿病的机理和进行防治有重要意义。本工作测定了糖耐量异常和妊娠期糖尿病孕妇血清中硒、铜、锶、镁、锌、钙、磷、铁和铝等九种元素持含量,研究了其与正常孕妇的差异,并观察了元素含量与孕期的相关性。结果表明,糖耐量异常和妊娠期糖尿病孕妇血清中硒的含量与正常孕妇相比明显降低。妊娠期糖尿病孕妇血清中铜比正常孕妇显著升高,而锌有降低趋势,其它元素则未明显变化。此外,观察到正常孕妇和血清异常孕妇血清中硒和钙的含量都与孕期呈明显的负相关性。     

冠心病患者血清钙、镁、磷变化的临床分析

为探讨冠心病患者血清钙、镁、磷的变化及其与冠心病的关系,对62例冠心病患者进行了血清钙、镁、磷含量的测定,并与41例健康人测定结果进行了对比分析。结果表明,冠心病组与健康对照组比较,血清钙离子和镁离子的含量均有显著性差异（P〈0．01）,磷无显著性差异（P〉0．05）。提示冠心病患者有血清离子含量的异常改变,主要表现为血清钙离子和镁离子含量的降低。     

儿童血清钙检测结果分析

为研究儿童生长发育与钙的关系 ,采用Varian 2 50型原子吸收分光光度计测定了 72 7例儿童血清中Ca含量 ,对其结果进行了统计学分析。结果表明 ,血清Ca为 2 2 4± 0 16mmol/L ,低于正常值 2 2 5～ 3mmol/L ,低钙发生率为 4 1 13%。本研究结果为临床提供参考 ,指出在整个儿童期均应注意补充钙。     

铅对人体内分泌系统的影响

体内铅负荷增高可对某些激素 ,如甲状腺激素和肾上腺皮质激素的产生及其代谢产生影响。崔金山测定了沈阳某蓄电池厂铅作业工人的血中游离三碘甲状腺原氨酸 (FT3)、游离四碘甲状腺原氨酸(FT4 )、促甲状腺素 (TSH)及尿铅、尿δ ALA水平 ,发现铅吸收组和铅中毒组工人血中FT3和FT4 含量明显低于对照组和铅接触组 (P <0 0 1 ) ,铅中毒组工人血中TSH含量显著升高。铅作业工人的这些指标均与尿铅及尿δ ALA水平呈显著相关关系 (P <0 0 1 )。铅致甲状腺功能下降的机制可能是铅损伤了甲状腺腺泡 ,使其分泌功能受损 ,也可能是铅抑制了摄碘…     

电位溶出法间接测定血清中钙镁

利用钙置换Zn EGTA中锌 ,镁置换Zn EDTA中锌 ,采用计时电位溶出法间接地测定血清中钙镁含量。血清用量仅为 2 0 μl,且不必消化 ,钙的线性范围为 0～ 4 80 μg·L- 1,检出限为 2 μg·L- 1,相关系数为 0 .9976 (n =6 ) ,镁的线性范围为 0～ 2 88μg·L- 1,检出限为 1μg·L- 1,相关系数为0 .9984 (n =6 )。用模拟血清测定钙的平均回收率为 99.4 % ,镁的平均回收率为 10 0 .1%。     

糖尿病患者血清中铬钴镍钙镁含量的探讨

测定了１１１例糖尿病患者血清中铬、钴、镍、钙、镁的含量，与对照组比较，铬、钴、钙、镁均出现降低，两者差异有高度显著性，Ｐ〈０．０１。提示可根据以上元素含量变化辅助诊断和防治糖尿病。     

血镁、血脂与脑血管病的关系

为探讨血清镁、血脂与脑血管疾病的关系 ,测定和比较了脑梗死 83例、脑出血 79例患者的血清镁 (Mg)、总胆固醇 (TC)、甘油三酯 (TG)、高密度脂蛋白胆固醇 (HDL -C)和低密度脂蛋白胆固醇 (LDL -C)水平 ,并与 3 2例非脑血管病患者进行了比较。结果表明 ,脑梗死组血清Mg、HDL -C水平降低均与对照组差异有显著性 (P <0 0 5或P <0 0 1 ) ,其中脑梗死组血清Mg明显低于脑出血组 (P <0 0 5 ) ;脑出血组血清Mg水平降低、TG水平升高均与对照组差异有显著性 (P <0 0 5或P <0 0 1 ) ;三组患者间的血清TC、LDL -C水平无明显差别。提示血清Mg和HDL-C水平降低以及血清TG水平升高可能是增加脑梗死和脑出血发生的危险因素。     

Zn、Mg、FT3、FT4在甲亢患者血清中的含量及相关性探讨

测定了３１例甲状腺机能亢进患者血清中Ｚｎ,Ｍｇ和Ｔ３,Ｔ４含量,并对其临床意义及相关性进行了探讨,同时作正常人对照,经统计学处理。结果表明：Ｍｇ明显降低（Ｐ〈０．０１）,Ｚｎ明显升高（Ｐ〈０．０１）,ＦＴ３,ＦＴ４明显升高（Ｐ〈０．０５）,但此两种元素含量与ＰＴ３,ＰＴ４水平没有等级相关性。     

Graves病患者经131I治疗后血浆和红细胞锌含量的变化及其临床意义

为研究Graves病(GD)患者经^131I治疗后血浆和红细胞锌(Zn)含量的变化及其临床意义，采用原子吸收分光光谱法(AAS)和放射免疫分析法(Rn)分别检测了40例GD患者、20例经^131I治疗后甲状腺功能恢复至正常水平GD患者与30名健康人血浆和红细胞Zn的含量以及血浆甲状腺激素水平。结果表明，GD组红细胞Zn含量明显低于对照组(P＜0．01)；血浆Zn含量虽略低于对照组，但无统计学意义(P＜0．05)；且Zn与FT4呈明显负相关(P＜0．01)、与TSH呈正相关(P＜0．05)。GD治疗缓解组红细胞Zn明显高于治疗前(P＜0．01)，血浆Zn明显低于治疗前(P＜0．05)；红细胞Zn检测GD的敏感性与特异性分别为95．0％与96．7％。提示GD患者存在红细胞Zn含量改变，甲状腺激素可能干扰红细胞Zn的代谢，同时测定红细胞Zn可作为GD的临床诊断、治疗以及疾病转归的参考指标。     

Preconcentration and determination of calcium and magnesium in brine with flow-injection systems

On-line preconcentration on a chelating resin (Dowex A-1) and elution with 0.1 M hydorchloric acid is followed by spectrophotometry based on the metal complexes formed with 1- (2-hydroxy-4-diethylamino-1-phenylazo)-2-hydroxynaphthalene-3,6-disulfonic acid. The total concentration of calcium and magnesium is determined; in a second sample, calcium is masked with a ligand buffer containing excess of barium(II) and EGTA, and magnesium is determined. The calcium concentration is measured by difference. Magnesium (1–30 μg l^?1 and calcium (8– 10 μg l^?1) in 2.5 M sodium chloride can be determined. Calcium and magnesium in analytical reagent-grade sodium chloride and potassium chloride and primary standard sodium chloride are aslo determined. The method based on the exchange between calcium ions and Mg(EDTA) is proposed to enchance the sensitivity for calcium.     

Automatic determination of calcium and magnesium in water

Magnesium and calcium may each be determined in water by an automatic spectrophotometric method. At 571 nm with an excess of Eriochrome Black T as metallochromic agent, the variation m absorbance is proportional to the magnesium concentration regardless of the calcium concentration. By addition of MgEDTA to displace the calcium from its CaEBT complex, this element may be determined at the same wavelength. For 3-25 ppm of magnesium and 5-40 ppm calcium, the standard deviation was about 4%. The apparatus is described.     

Application of adaptive pressure-driven microfluidic chip in thyroid function measurement

The improvement in accuracy of in vitro diagnosis has always been the focus of early screening of thyroid dysfunction. We constructed a microfluidic chip based on a polystyrene polymer substrate. Total triiodothyronine (TT3), total thyroxine (TT4), free triiodothyronine (FT3), free thyroxine (FT4), and thyrotropin (TSH) in human whole blood samples were analysed by fluorescence immunoassay to evaluate thyroid function. The results indicate that the microfluidic chip shows a good linear relationship in the detection of TT3, TT4, FT3, FT4, and TSH standards, and the correlation coefficient (r) is not less than 0.9900. In addition, the chip also has strong anti-interference (RSD% ≤ 5%) and good repeatability (CV ≤ 8%), and its inter-batch differences are small (CV ≤ 15%). The results of practical application in clinical thyroid function measurement indicated its high accuracy (r ≥ 0.9900). It provides a new method for the determination of thyroid function and lays a foundation for subsequent clinical application.     

Microdetermination of magnesium in biological fluids

A modified procedure for the spectrophotometric determination of serum magnesium is described in which a direct addition of serum is made to a two-piece color reagent system. One solution contains an optimized concentration of the color reagent Magon, 1-azo-2-hydroxy-3-2-(2,4-dimethylcarboxanilido)-naphthalene-1′-(2-hydroxybenzene-5-sulfonate) sodium salt, in a dimethyl sulfoxide medium for binding magnesium and also EGTA, ethylene-bis(oxyethylenenitrilo)-tetraacetic acid, for binding calcium. The other is an alkaline solution of dilute cyanide to bind copper and iron and provide the optimum reaction pH. By means of these ingredients the simple procedure involves a reaction with serum magnesium while masking the interference of calcium and trace metals and allowing the reaction to take place without either separation or deproteinization steps. Optimized characteristics are shown for a linear reaction involving a variable reaction blank in the procedure where calcium is measured against a blank that is constant in its makeup. The linearity of the procedural reagent blank, with respect to its own concentration, helps attain the required linear results for the overall system and this is described by spectral studies.     

Synthesis of o,o′-dihydroxyazo compounds and their application to the determination of magnesium and calcium by flow injection analysis

Seven _o,o′-dihydroxyazo dyes were synthesized and examined as spectrophotometric reagents for magnesium and calcium. These reagents are highly sensitive for magnesium (? = 47 000) and calcium (? = 39 000 l mol^?1 cm^?1). Of the reagents synthesized, 2-(2-hydroxy-3,6-disulfo-1-naphthylazo)-5-(N,N-diethylamino)phenol was the best because of its ease of preparation and purification, and its stability in alkaline solution. This dye was applied in the determination of magnesium and calcium by flow injection analysis. The total concentration of magnesium (0.1–1.2 mg 1^?1) and calcium (0.4–4.0 mg 1^?1) was determined by masking iron(III), aluminium(III), copper(II), zinc(II), manganese(II) and cadmium(II) with 2,3-dimercapto-1-propanol (DMP) and triethanolamine (TEA). Magnesium was determined by masking calcium and the other metal ions with a ligand buffer containing barium(II)—EGTA, DMP and TEA. The amount of calcium was obtained as the difference between the two peak heights. Results for the determination of magnesium and calcium in potable water and serum are presented.     

肝硬化患者血清微量元素与免疫功能的相关性研究

为探讨肝硬化患者血清中微量元素含量与细胞免疫功能的相关性,将70例肝硬化患者根据代偿期及失代偿期分为两组,30例健康体检者为对照组,用日立7170A型全自动生化分析仪检测了血清中的镁、铁、铜、锌含量,流式细胞技术检查了外周血CD3+、CD4+、CD8+、NK细胞。结果表明,肝硬化患者血清镁、铁、锌水平显著低于对照组;血清铜水平显著高于对照组;CD3+、CD4+、NK细胞低于正常对照组,以失代偿期改变明显。肝硬化患者血清铜水平与CD3+、CD4+、NK细胞呈负相关,血清锌水平与CD3+、CD4+、NK细胞呈正相关。提示肝硬化患者微量元素代谢异常与细胞免疫功能下降有一定的联系。     

痤疮患者血清中微量元素含量的变化

测定了52例痤疮患者血清Ca,Mg,Zn,Cu,Fe五种元素的含量。结果表明，痤疮患者血清Zn水平显著低于正常人（P＜0．001），血清Ca,Mg,Cu,Fe水平则与正常人无差别（P＞0．05）。部分病人口服补充锌剂后痤疮症状有所好转。提示痤疮患者应重视体内微量元素含量的变化，并做适当的补充。