Drummer C, Stromeyer H, Riepl R L, König A, Strollo F, Lang R E, Maass H, Röcker L, Gerzer R
Medizinische Klinik Innenstadt, Universität München, FRG.
Aviat Space Environ Med. 1990 Sep;61(9):821-8.
Twenty-two different humoral parameters including stress-, gastrointestinal- and volume-regulating hormones were measured before and within 45 min after parabolic flight maneuvers of twenty healthy adult subjects. We compared hormonal data of motion sickness-affected participants with those unaffected. Changes in cortisol and vasoactive intestinal peptide plasma levels were significantly different (p less than 0.002 and p less than 0.004) between the two groups with increasing plasma levels of both hormones during motion sickness but decreasing levels within the control group. Growth hormone and prolactin plasma levels increased by 400% and 115% within the motion sickness-affected group and to a smaller degree (120% and 40% increases, respectively) within the control group, while ACTH levels were almost unchanged within both groups. Pancreatic polypeptide and gastrin plasma levels as well as plasma levels of insulin and C-peptide were significantly decreased within both groups after the parabolic flight. Plasma renin, aldosterone, atrial natriuretic peptide and cyclic GMP levels were unchanged within the control group. Within the motion sickness-affected group, plasma renin and aldosterone levels were decreased and atrial natriuretic peptide levels increased after the flight. Humoral parameters of the thyroid gland were neither changed within the groups nor different between the groups. The present data confirm previous results that increases in plasma levels of certain stress hormones participate in motion sickness. Furthermore, increases in vasoactive intestinal peptide levels participate in motion sickness. These increases could explain some of the gastrointestinal symptoms in motion sickness and might serve as markers for a discrimination between regular stress and motion sickness.
对20名健康成年受试者进行抛物线飞行操作前及操作后45分钟内,测量了包括应激、胃肠和容量调节激素在内的22种不同的体液参数。我们将晕动病患者与未患病者的激素数据进行了比较。两组之间皮质醇和血管活性肠肽血浆水平的变化存在显著差异(p<0.002和p<0.004),晕动病期间两组激素血浆水平均升高,但对照组水平下降。晕动病组生长激素和催乳素血浆水平分别升高400%和115%,对照组升高幅度较小(分别为120%和40%),而促肾上腺皮质激素水平在两组中几乎未变。抛物线飞行后,两组的胰多肽和胃泌素血浆水平以及胰岛素和C肽血浆水平均显著下降。对照组血浆肾素、醛固酮、心钠素和环磷酸鸟苷水平未变。在晕动病组中,飞行后血浆肾素和醛固酮水平下降,心钠素水平升高。甲状腺的体液参数在组内未发生变化,组间也无差异。目前的数据证实了先前的结果,即某些应激激素血浆水平的升高与晕动病有关。此外,血管活性肠肽水平的升高也与晕动病有关。这些升高可能解释了晕动病中的一些胃肠道症状,并可能作为区分常规应激和晕动病的标志物。