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[首发精神分裂症患者催乳素分泌及外周生殖性激素的特点]

[Specialties of prolactin secretion and peripheral reproductive sex hormones in patients with of first episode of schizophrenia].

作者信息

Gorobets L N, Matrosova M I

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2010;110(10):17-22.

Abstract

Levels of prolactin, estradiol and testosterone have been assessed in 50 first episode drug naive patients with schizophrenia (23 women and 27 men) and 17 mentally healthy people. All patients have been stratified into two groups by sex and into two subgroups by severity of psychopathological symptoms. The levels of prolactin and estradiol were higher in men compared to the control group. In women, the level of estradiol was lower and the level of testosterone was higher regardless of burden of psychopathologic symptoms. The decrease of testosterone level was found in males with acute psychopathologic symptoms. The increase of psychopathologic symptoms leads to lowering of prolactin level regardless of sex that confirms the dopamine theory of schizophrenia. The results of this study confirm the protective role of estrogen in the development of disease.

摘要

已对50例首发未用药的精神分裂症患者(23名女性和27名男性)以及17名心理健康者的催乳素、雌二醇和睾酮水平进行了评估。所有患者按性别分为两组,按精神病理症状严重程度分为两个亚组。与对照组相比,男性的催乳素和雌二醇水平较高。在女性中,无论精神病理症状的严重程度如何,雌二醇水平较低而睾酮水平较高。在有急性精神病理症状的男性中发现睾酮水平降低。无论性别如何,精神病理症状的加重都会导致催乳素水平降低,这证实了精神分裂症的多巴胺理论。本研究结果证实了雌激素在疾病发展中的保护作用。

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