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FK506血药浓度与糖代谢相关血液指标的观察
引用本文:董矜,王玲,田亚平,刘红鹰,姜辉.FK506血药浓度与糖代谢相关血液指标的观察[J].军医进修学院学报,2006,27(6):466-467.
作者姓名:董矜  王玲  田亚平  刘红鹰  姜辉
作者单位:解放军总医院生化科,北京,100853
摘    要:目的:探讨长期服用FK506(tacrolimus)患者血中糖代谢指标与血药浓度的关系。方法:FK506血药浓度用微粒子酶免疫分析法,糖化血红蛋白(HbA1)用液相色谱法,血糖(G lu)、糖化血清蛋白(GSP)、白蛋白(A1b)用罗氏公司试剂盒,红细胞(Rbc)、血红蛋白含量(HGB)在雅培Cell Dyn 3200血细胞仪上测定。结果:男性GSP、HGB明显高于女性;不同年龄组仅有GSP明显差异;FK-506不同浓度组A lb、HbA1、RBC、HGB有统计学差异(P<0.05)。结论:HbA1和GSP可作为临床参考指标,用于检测FK-506浓度改变引起的糖代谢紊乱,并调整用药。

关 键 词:FK506  葡萄糖  糖化血清蛋白  糖化血红蛋白  血药浓度
文章编号:1005-1139(2006)06-0466-02
收稿时间:2006-01-19
修稿时间:2006-04-06

Effect of FK506 on the metabolism of glucose in blood
DONG Jin,WANG Ling,TIAN Ya-ping,LIU Hong-ying,JIANG Hui.Effect of FK506 on the metabolism of glucose in blood[J].Academic Journal of Pla Postgraduate Medical School,2006,27(6):466-467.
Authors:DONG Jin  WANG Ling  TIAN Ya-ping  LIU Hong-ying  JIANG Hui
Institution:Clinical Biochemistry Department of PLA General Hospital, Beijing 100853, China
Abstract:Objective:To investigate changes glucose metabolism-related markers in blood by a long-term intaken FK506(tacrolimus).Methods:tacrolimus blood levels were measured by MEIA method;HbA1 was measured by high performance liquid chromatography;red blood cells and HGB were performed on Abbott cell dyn 3200 analyzer;other tests were processed on abbott Ci8200 analyzer with relevant reagent kits.Result:GSP and HGB are higher in male;GSP has significant changes by age;Alb/HBA1/RBC/HGB values changes with different tacrolimus blood level;Conclusion:HbA1 and GSP are good markers for monitoring of glucose metabolism confusion and posttransplant diabetes mellitus.
Keywords:tacrolimus  glucose  glycosylated hemoglobin(HBA1)  glycated serum protein(GSP)  plasma concentration
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