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枸橼酸氯米芬对男性慢性精神分裂症患者下丘脑-垂体-性腺轴的影响。

Effects of clomiphene citrate administraiton on the hypothalamo-pituitary-gonadal axis of male chronic schizophrenics.

作者信息

Brambilla F, Rovere C, Guastalla A, Guerrini A, Riggi F, Burbati G

出版信息

Acta Psychiatr Scand. 1977 Nov;56(5):399-406. doi: 10.1111/j.1600-0447.1977.tb06680.x.

Abstract

The clomiphene citrate stimulation test was performed in 16 adult male chronic hebephrenic schizophrenics (10 off therapy from 3 months to 1 year and six on therapy with phenothiazines or haloperidol) and in five normal controls, matched for age. Clomiphene citrate was given orally at a daily dose of 150 mg, divided into three doses, for 8 days. FSH, LH and testosterone levels were assayed before the administration of clomiphene citrate and after 4 and 8 days of treatment. Schizophrenics showed normal increase of FSH levels during the clomiphene administration, while LH and testosterone responses were blunted. Phenothiazines or haloperiodol had no effect on the test.

摘要

对16名成年男性慢性青春型精神分裂症患者(其中10名已停药3个月至1年,6名正在接受吩噻嗪类或氟哌啶醇治疗)及5名年龄匹配的正常对照者进行了枸橼酸氯米芬刺激试验。枸橼酸氯米芬口服给药,每日剂量150mg,分三次服用,共8天。在给予枸橼酸氯米芬前及治疗4天和8天后测定促卵泡生成素(FSH)、促黄体生成素(LH)和睾酮水平。精神分裂症患者在服用枸橼酸氯米芬期间FSH水平正常升高,而LH和睾酮反应减弱。吩噻嗪类或氟哌啶醇对该试验无影响。

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