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目的了解肝硬变患者血浆一氧化氮(NO)含量及血清促卵泡素(FSH)、促黄体素(LH)、泌乳素(PRL)、雌二醇(E2)、睾酮(T)浓度,并探讨NO与性激素水平改变及某些临床表现的关系.方法肝硬变组50例,全部为男肝炎后肝硬变患者,平均年龄59岁±26岁.其中13例经B型超声证实无腹水,37例有少量以上腹水.对照组30例,为男性健康志愿者和献血员,平均年龄52岁±11岁.经方差分析肝硬变组和对照组年龄无显著差异(P>005).我们研究采用高压液相色谱法测定NO血浆代谢产物亚硝酸根(NO-2)和硝酸根(NO-3)浓度,间接反应体内NO水平;采用放射免疫分析法测定血中FSH,LH,PRL,E2,T浓度.结果肝硬变患者血浆NO水平(ng/L)极显著高于对照组(3489±671vs2430±479,P<001),血清PRL(μg/L),E2(ng/L)显著高于对照组(40±20vs20±7,P<001;70±21vs47±13,P<001),T水平(ng/L)显著低于对照组(354±103vs588±86,P<001),FSH,LH两组差异无显著性.血浆NO水平与清蛋白(A)呈负相关(r=-061,P<0?
Objective To investigate the levels of plasma nitric oxide (NO) and the levels of serum FSH, PRL, E2 and T in patients with cirrhosis, And sex hormone levels and some changes in clinical manifestations. Methods 50 patients with cirrhosis, all patients with posthepatitic cirrhosis, mean age 59 ± 26 years old. Among them, 13 cases were confirmed as non-ascites by B-mode ultrasound and 37 cases as few as ascites. Control group of 30 cases, male healthy volunteers and blood donors, with an average age of 52 years ± 11 years. There was no significant difference in age between cirrhosis group and control group by analysis of variance (P> 005). We studied the use of high pressure liquid chromatography determination of NO plasma nitric oxide (NO-2) and nitrate (NO-3) concentrations, indirect reaction of NO levels in vivo; radioimmunoassay method for the determination of blood FSH, LH, PRL , E2, T concentration. Results The level of plasma NO (ng / L) in patients with cirrhosis was significantly higher than that in controls (3489 ± 671 vs 2430 ± 479, P <001), and serum PRL (μg / L) and E2 The levels of ng / L in the control group (40 ± 20 vs. 20 ± 7, P <001; 70 ± 21 vs 47 ± 13, P <001) were significantly lower than those in the control group (354 ± 103 vs 588 ± 86, P <0 01), FSH, LH no significant difference between the two groups. Plasma NO levels were negatively correlated with albumin (A) (r = -0.61, P <