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慢性特发性血小板减少性紫癜患者白细胞糖皮质激素受体的变化和意义 被引量:1

The Level of Glucocorticoid Receptor in the Leucocytes of Chronic ITP and Its Significance
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摘要 以放射配体法测定外周血白细胞糖皮质激素受体(GR),并用放免双抗体法测定血浆皮质醇(F)浓度。在慢性特发性血小板减少性紫癜(CITP)组30例中,GR数量为3893±275位点/细胞((?)±S(?));而正常对照组22名为5306±249位点/细胞(P<0.01)。两组F均正常,且无明显差异。16例病人用强的松正规治疗并观察近期反应,有效12例,无效4例,GR分别为4975±351和2760±316位点/细胞(P<0.01)。由此表明,CITP病人组白细胞GR平均数量较正常对照组明显降低;病人白细胞GR水平与糖皮质激素近期疗效密切相关。 In the study, we measured glucocorticoid receptor (GR) in the peripheral leucocytes by radio-ligand assay and plasma cortisol (F) by radio-immune method. The mean CR level of 30 pati- ents with chronic ITP was 3983±275 sites/cell ((?)+s) and that of the 22 in the normal controls 5306±249 sites/cell (P<0.01). F concentration of both groups was within normal range and there was no significant difference between them (P>0.05). 16 patients were given a prednisone (PDN) therapy, and the responce within 8 weeks was observed. GR of 12 cases responsive to PDN were 4975±351 sites/cell, but 4 cases with no responce to PDN were 2760±316 sites/cell (P<0.01). These results suggested, comparing, to normal control group, the mean GR level in patients of chronic ITP group reduced obviously, and there is a close relationship between the GR level the short-term therapeutic effect of glucocorticoid in the patients.
出处 《铁道医学》 1993年第1期17-19,共3页 Railway Medical Journal
关键词 紫癜 血小板减少 受体 receptors, endegenous, prednisone, purpura, thrombopenie
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