抽动障碍 , 病因 , 兴奋性物质," /> 抽动障碍 , 病因 , 兴奋性物质,"/> Tic disorsers, Etiology, Excitatory substances,"/> <span style="line-height:2;font-size:14px;">抽动障碍患儿尿样兴奋性物质</span><span style="line-height:2;font-size:14px;">检测的临床研究</span>
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发育医学电子杂志  2015, Vol. 3 Issue (1): 28-34    
  临床遗传   论著 |
抽动障碍患儿尿样兴奋性物质检测的临床研究
王颖 邹丽萍 张礼萍 赵建波 鲁金芳
1.首都医科大学附属北京儿童医院 2.中国人民解放军总医院 3.北京延庆妇幼保健院
Clinical study of urine test about excitatory substances in children with tic disorders
WANG Ying, ZOU Li-ping, ZHANG Li-ping, ZHAO Jian-bo, LU Jin-fang
1Beijing Children's Hospital of Capital Medical University 2.Chinese PLA General Hospital 3. Maternal and Child Health Center, Yanqing County
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摘要 【摘要】 目的  探讨兴奋性物质与抽动障碍的关系。方法 采用病例对照研究,抽动障碍患儿与正常儿童各44 例,收集两组儿童晨尿,2008 中国奥运会兴奋剂检测的实验平台, 应用气相色谱- 质谱联 用仪(GC/MS)和液相色谱- 质谱联用仪(LC/MS)检测。检测的物质分为10 大类:蛋白同化制剂,部分激素,β2- 激动剂,激素拮抗剂与调节剂,利尿剂和其他掩蔽剂,刺激剂,麻醉剂,大麻(酚)类,糖皮质类固醇,β- 阻断剂,共197 种物质及其他具有相似化学结构或相似生物作用的物质。结果 病例组3 例阳性(7%),对照组阴性。1 例患儿蛋白同化制剂睾酮增高,按照耶鲁抽动程度综合量 表评分为极重度。2 例患儿检测出麻黄碱类刺激剂,此2 例为重度。结论 性激素异常和麻黄碱类刺 激剂升高可能与抽动障碍发病相关。抽动障碍患儿尿样中兴奋性物质检出阳性率较低。
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关键词:  抽动障碍 ')" href="#">抽动障碍   病因   兴奋性物质    
Abstract: 【Abstract】Objective The objective of this study is to investigate the relationship between excitatory substances and tic disorders (TD) Method The case - control study was conducted . 44 children with TD and 44 normal children were implemented laboratory check about excitatory substances in the urine. The urina sanguinis from the TD patients and healthy children were collected. The urine samples were sent to the doping control center of State Physical Cultural Administration and detected with the Gas Chromatograph- Mass Spectrometer(GC/MS)and Liquid Chromatograph-Mass Spectrometer (LC/MS) produced by the gilent Company in America. Substances detected were sorted into 10 groups: anabolic agents, some of
the hormones and related substances, β2-agonists, hormone antagonists and modulators, diuretics and other masking agents, stimulants, narcotics, cannabinoids, glucocorticosteroids, including more than 100 substances and some other substances with similar chemcial constitution or similar biological effects. Results  The positive rate in experiment group was 7%, while it was negative in the control group. The level of the anabolic agents testosterone increased in one extremely severe TD patient according to the YGTSS, while cathine and other substances with a similar chemical constitution or similar biological effects increased in the other two severe TD patients. Conclusions Abnormal sex hormones and ephedrine stimulants increase maybe play a part in the mechanism of TD. The positive rate of excitatory substances in urine from children with TD is low.
Key words:  Tic disorsers')" href="#">Tic disorsers    Etiology    Excitatory substances
收稿日期:  2014-11-11                出版日期:  2015-01-30      发布日期:  2019-07-20      期的出版日期:  2015-01-30
通讯作者:  邹丽萍https://baike.baidu.com/item/%E9%82%B9%E4%B8%BD%E8%90%8D/1633309?fr=aladdin    E-mail:  zouliping21@hotmail.com
引用本文:    
王颖 邹丽萍 张礼萍 赵建波 鲁金芳. 抽动障碍患儿尿样兴奋性物质检测的临床研究[J]. 发育医学电子杂志, 2015, 3(1): 28-34.
WANG Ying, ZOU Li-ping, ZHANG Li-ping, ZHAO Jian-bo, LU Jin-fang. Clinical study of urine test about excitatory substances in children with tic disorders. Journal of Developmental Medicine(Electronic Version), 2015, 3(1): 28-34.
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