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陈楚天, 周金华, 张周斌, 周洪伟, 程焰芳, 薛振香, 宋雪莲, 德吉央宗, 李铁钢, 王鸣. 维吾尔族、汉族和藏族健康人群血清中9种必需元素比较分析[J]. 中国公共卫生, 2019, 35(4): 455-458. DOI: 10.11847/zgggws1119133
引用本文: 陈楚天, 周金华, 张周斌, 周洪伟, 程焰芳, 薛振香, 宋雪莲, 德吉央宗, 李铁钢, 王鸣. 维吾尔族、汉族和藏族健康人群血清中9种必需元素比较分析[J]. 中国公共卫生, 2019, 35(4): 455-458. DOI: 10.11847/zgggws1119133
Chu-tian CHEN, Jin-hua ZHOU, Zhou-bin ZHANG, . Nine essential elements in serum of healthy Uygur, Han and Tibetan people: a comparison analysis[J]. Chinese Journal of Public Health, 2019, 35(4): 455-458. DOI: 10.11847/zgggws1119133
Citation: Chu-tian CHEN, Jin-hua ZHOU, Zhou-bin ZHANG, . Nine essential elements in serum of healthy Uygur, Han and Tibetan people: a comparison analysis[J]. Chinese Journal of Public Health, 2019, 35(4): 455-458. DOI: 10.11847/zgggws1119133

维吾尔族、汉族和藏族健康人群血清中9种必需元素比较分析

Nine essential elements in serum of healthy Uygur, Han and Tibetan people: a comparison analysis

  • 摘要:
      目的  分析维吾尔族、汉族和藏族健康人群血清中铁、锌、硒、铜、钙、钠、镁、钾和锰9种必需元素含量,为了解民族健康相关指标本底差异,实施疾病精准防控提供依据。
      方法  于2016年5 — 9月,按照性别和年龄 ± 3岁1 : 1 : 1匹配粤、藏、以及新疆地区的汉、藏、维吾尔族健康人群,累计纳入696个研究对象并抽取血液样本;使用0.1 %聚乙二醇辛基苯基醚 + 0.1 %硝酸对血清稀释后,使用电感耦合等离子体质谱法(ICP-MS),采用标准模式和碰撞反应池模式,应用标准曲线法和内标校正定量测定血清中铁、锌等9种必需元素;使用秩和检验比较3组间元素水平的差异。
      结果  实验室元素测定的精密度均优于2.0 %,加标回收率为97 %~103 %。除了镁元素外,其余8种元素在3个民族间差异均有统计学差异(P < 0.001)。其中,汉族人群的钠和铜(3 148.02、0.84 mg/L)低于维吾尔族(3 218.87、0.97 mg/L)和藏族(3 276.85、1.05 mg/L);汉族人群血清中的锰、硒水平(18.74,121.48 μg/L)高于维吾尔族(14.62,95.53 μg/L)和藏族(11.24,71.91 μg/L);维吾尔族人群的钙和锌(112.72、1.02 mg/L)高于汉族(102.41、0.64 mg/L)和藏族(91.86、0.61 mg/L);汉族人群血清中的铁(1.82 mg/L)高于藏族(1.55 mg/L)和维吾尔族(1.34 mg/L);藏族人群的钾(206.75 mg/L)高于汉族(174.80 mg/L)和维吾尔族(158.83 mg/L)。
      结论  不同地域人群体内的必需元素水平存在差异,亟待完善我国全民族健康数据,实施个性化防治措施。

     

    Abstract:
      Objective  To compare differences in serum concentration of iron (Fe), zinc (Zn), selenium (Se), copper (Cu), calcium (Ca), sodium (Na), magnesium (Mg), potassium (K), and manganese (Mn) among healthy Uygur, Tibetan and Han people and to provide evidences on variations in baseline concentration of the 9 essential elements for effective prevention of relevant diseases.
      Methods  We collected blood samples from gender- and age (± 3 years)-matched three groups of healthy people (n = 232 for each group): Han people in Guangdong province, Tibetan people in Tibet Autonomous Region, and Uygur people in Xinjiang Uygur Autonomous Region between May and September, 2016. After diluted with 0.1% Triton X-100 and 0.1% nitric acid, the serum were detected using inductively coupled plasma mass spectrometry (ICP-MS) for quantitative determinations of nine essential elements. Standard model and collision reaction pool and standard curve and internal standard calibration were adopted in the detections. Differences in serum concentrations of the 9 elements among the three groups of people were analyzed with rank sum test.
      Results  For detections of the all elements, the precisions were better than 2.0% and the standard addition recoveries ranged 97% – 103%. The differences in the serum concentrations of the elements among the three nationality groups were statistically significant (P < 0.001) except for that of magnesium. Compared to those in the Uygur/Tibetan people, the serum Na (3 148.02 mg/L vs. 3 218.87 mg/L/3 276.85 mg/L) and Cu (0.84 mg/L vs. 0.97 mg/L/1.05 mg/L) were lower but the serum Mn (18.74 μg/L vs. 14.62 μg/L/11.24 μg/L) and Se (121.48 μg/L vs. 95.53 μg/L/71.91 μg/L) were higher in the Han people. In comparison with the Han and Tibetan people, the Uygur people had higher serum Ca (112.72 mg/L vs. 102.41 mg/L and 91.86 mg/L) and Zn (1.02 mg/L vs. 0.64 mg/L and 0.61 mg/L). The Han people had a higher serum Fe (1.82 mg/L vs. 1.55 mg/L and 1.34 mg/L) than Tibetan and Uygur people. The Tibetan people had a higher serum K (206.75 mg/L vs. 174.80 mg/L and 158.83 mg/L) than Han and Uygur people.
      Conclusion  There are differences in serum concentrations of essential elements among people of different nationality and regions and relevant data should be collected among various populations for individualized disease prevention and treatment.

     

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