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[气候暴露和身体活动对高血压患者血浆皮质醇水平及尿17-羟皮质类固醇排泄的影响]

[Effect of climatic exposure and physical activity on plasma cortisol levels and urinary 17-hydroxycorticosteroid excretion in patients with hypertension].

作者信息

Angelov I, Goranova V, Ankov V, Kolebinov N

出版信息

Vutr Boles. 1976;15(4):74-8.

PMID:1007241
Abstract

Decrease in arterial pressure, mainly manifested in the first 5-10 days, was established in 111 patients with hypertension disease in functional and initial organic stage in the conditions of moderately high mountain (1870 m above sea level) after 25/20 days of complex climatic treatment including: active motor regimen, sun-air exposure and Pevzner diet No 10. Simultaneously the excretion of 17-hydroxicorticosteroids was increased in daily urine. Suprarenal cortex stimulation is best manifested after the first week and is kept till the end of the treatment. Cortisol plasma level was elevated in 42.7 per cent of the patients with hypertension disease with initial values under 15 mkg/100 ml plasma after three hours moderately severe physical activity, carried out in physiological thermal conditions and was decreased with 25.9 per cent with initial levels over 20 mkg/100 ml plasma. Parallely, 17-hydroxicoricosteroids secretion in urine was decreased as well as the systolic and diastolic arterial pressure.

摘要

在海拔1870米的中度高山环境下,对111例处于功能性和初期器质性阶段的高血压病患者进行了为期25/20天的综合气候治疗,包括积极的运动方案、阳光空气暴露和佩夫兹纳10号饮食,结果发现动脉压下降主要表现在最初的5 - 10天。同时,每日尿液中17 - 羟皮质类固醇的排泄量增加。肾上腺皮质刺激在第一周后表现最佳,并持续到治疗结束。在生理热条件下进行中度剧烈体力活动三小时后,血浆皮质醇水平在初始值低于15微克/100毫升血浆的高血压病患者中有42.7%升高,而在初始水平高于20微克/100毫升血浆的患者中则下降了25.9%。与此同时,尿中17 - 羟皮质类固醇的分泌减少,收缩压和舒张压也降低。

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