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[使用溴隐亭治疗肢端肥大症]

[Therapy of acromegaly using bromocriptine].

作者信息

Köbberling J, Schwinn G, Dirks H

出版信息

Dtsch Med Wochenschr. 1975 Jul 18;100(29):1540-2.

PMID:1149634
Abstract

Oral administration of 1.0 or 2.5 mg bromocriptine (CB 154: 2-brom-alpha-ergocryptine) in nine of twelve patients with active acromegaly resulted in a reduction of growth hormone level by 80-90% over 8-10 hours. During treatment for 2-9 months with daily doses of 4.0 to 10.0 mg bromocriptine, there was a sustained reduction of growth hormone levels in these patients. At the same time soft-tissue swellings and tendency towards sweating decreased. In two patients with diabetes mellitus the blood sugar profile improved and in one of them the insulin dose could be markedly reduced. The rise in growth hormone levels after TRH administration also occurred during bromocriptine treatment. In those patients in whom growth hormone levels failed to react to either acute or chronic administration of bromocriptine no rise followed TRH administration. It is possible that in these patients there is a hypophyseal adenoma without hypothalamic control. On gradually increasing dosage bromocriptine was tolerated without side effects.

摘要

给12例活动期肢端肥大症患者中的9例口服1.0或2.5毫克溴隐亭(CB 154:2-溴-α-麦角隐亭),8至10小时内生长激素水平降低了80 - 90%。在每日服用4.0至10.0毫克溴隐亭治疗2至9个月期间,这些患者的生长激素水平持续降低。同时,软组织肿胀和出汗倾向减轻。2例糖尿病患者的血糖情况改善,其中1例患者的胰岛素剂量可显著减少。在溴隐亭治疗期间,给予促甲状腺激素释放激素(TRH)后生长激素水平也会升高。在那些生长激素水平对溴隐亭的急性或慢性给药均无反应的患者中,给予TRH后也不会出现升高。这些患者可能存在不受下丘脑控制的垂体腺瘤。随着剂量逐渐增加,溴隐亭耐受性良好,无副作用。

相似文献

1
[Therapy of acromegaly using bromocriptine].[使用溴隐亭治疗肢端肥大症]
Dtsch Med Wochenschr. 1975 Jul 18;100(29):1540-2.
2
Long-term treatment of acromegaly with bromocryptine: postprandial HGH levels and response to TRH and glucose administration.
Horm Metab Res. 1976 Jul;8(4):291-5. doi: 10.1055/s-0028-1093638.
3
Acromegaly--results of long term treatment with bromocriptine.肢端肥大症——溴隐亭长期治疗的结果
Acta Endocrinol Suppl (Copenh). 1978;216:187-98.
4
Medical management of acromegaly with bromocriptine. Effects of continuous treatment for over three years.用溴隐亭对肢端肥大症进行药物治疗。三年以上持续治疗的效果。
Med J Aust. 1978 Nov 4;2(3 Suppl):31-3.
5
Effect of long term bromocriptine treatment on glucose intolerance in acromegaly.长期使用溴隐亭治疗对肢端肥大症患者糖耐量异常的影响。
Horm Metab Res. 1982 Feb;14(2):57-61. doi: 10.1055/s-2007-1018923.
6
Bromocriptine reduces growth hormone in acromegaly.
Arch Intern Med. 1986 Jun;146(6):1145-9.
7
Metabolic and clinical studies on patients with acromegaly treated with bromocriptine over 22 months.对接受溴隐亭治疗22个月的肢端肥大症患者进行的代谢和临床研究。
Eur J Clin Invest. 1977 Apr;7(2):101-7. doi: 10.1111/j.1365-2362.1977.tb01580.x.
8
Bromocriptine therapy in patients with acromegaly: effects on growth hormone, somatomedin A and prolactin.溴隐亭治疗肢端肥大症患者:对生长激素、生长调节素A和催乳素的影响。
Acta Endocrinol Suppl (Copenh). 1978;216:199-206.
9
[Therapeutical effects of bromocriptine (CB 154) in 10 acromegalic subjects. Study of somatotrophic function and clinical survey (author's transl)].
Ann Endocrinol (Paris). 1977 Jul-Aug;38(4):291-301.
10
Bromocriptine therapy in eleven patients with acromegaly.11例肢端肥大症患者的溴隐亭治疗
Acta Endocrinol Suppl (Copenh). 1978;216:207-16.

引用本文的文献

1
[Somatostatin -- a review (author's transl)].[生长抑素——综述(作者译)]
Klin Wochenschr. 1976 Apr 1;54(7):293-301. doi: 10.1007/BF01471574.
2
Treatment of patients with prolactinomas.泌乳素瘤患者的治疗。
J Endocrinol Invest. 1978 Jan;1(1):47-58. doi: 10.1007/BF03346770.