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[血小板作为评估糖尿病孕妇神经激素失衡的检测系统]

[Blood platelet as a test system in the evaluation of neurohormonal imbalance in pregnant women with diabetes mellitus].

作者信息

Kuznetsov N N, Kulikov A V, Egorov V M, Vershinina G A, Anisimov K Iu, Iakushev A M

出版信息

Vestn Ross Akad Med Nauk. 1992(6):50-3.

PMID:1384893
Abstract

A study was made of platelet alpha 2- and beta 2-adrenoreceptors stimulated by adrenaline and alupent as well as of hemostatic system parameters the levels of ACTH, cortisol, glucagon and C-peptide in the blood of women with type I diabetes mellitus during pregnancy, surgical delivery, and the postoperative period. It is shown that the changes in the sensitivity of both subtypes of platelet adrenoreceptors are closely related to the activation of the stress-realizing systems and may serve as a test for estimating the intensity of neurohumoral imbalance both during pregnancy and surgical intervention. The sensitivity of platelet adrenoreceptors to agonists may be examined by a simple retention test allowing rapid information to be derived, which is of paramount importance under clinical conditions.

摘要

对妊娠、剖宫产及术后Ⅰ型糖尿病女性患者血液中,肾上腺素和间羟异丙肾上腺素刺激的血小板α2-和β2-肾上腺素能受体以及止血系统参数、促肾上腺皮质激素(ACTH)、皮质醇、胰高血糖素和C肽水平进行了研究。结果表明,血小板肾上腺素能受体两种亚型敏感性的变化与应激实现系统的激活密切相关,可作为评估妊娠和手术干预期间神经体液失衡强度的一项检测指标。血小板肾上腺素能受体对激动剂的敏感性可通过简单的潴留试验进行检测,该试验能快速获取信息,这在临床情况下至关重要。

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