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30分钟促肾上腺皮质激素(ACTH)试验在评估下丘脑-垂体-肾上腺功能中的可靠性。

Reliability of the 30-minute ACTH test in assessing hypothalamic-pituitary-adrenal function.

作者信息

Lindholm J, Kehlet H, Blichert-Toft M, Dinesen B, Riishede J

出版信息

J Clin Endocrinol Metab. 1978 Aug;47(2):272-4. doi: 10.1210/jcem-47-2-272.

DOI:10.1210/jcem-47-2-272
PMID:233665
Abstract

An insulin hypoglycemia test and a 30-min ACTH test were performed in 90 patients with proved or suspected hypothalamic-pituitary-adrenal hypofunction and in 10 normal subjects. The peak plasma cortisol concentration during hypoglycemia and the cortisol concentration at 30 min after injection of 250 micrograms corticotropin 1-24 were compared. A very close correlation (r = 0.92) was found between the the two concentrations, with no major discrepancy in any case. It is concluded that the short ACTH test accurately reflects the integrated hypothalamic-pituitary-adrenal function, as assessed by the insulin hypoglycemia test.

摘要

对90例已证实或疑似下丘脑 - 垂体 - 肾上腺功能减退的患者及10名正常受试者进行了胰岛素低血糖试验和30分钟促肾上腺皮质激素(ACTH)试验。比较了低血糖期间血浆皮质醇浓度峰值与注射250微克促肾上腺皮质激素1 - 24后30分钟时的皮质醇浓度。发现这两种浓度之间存在非常密切的相关性(r = 0.92),在任何情况下均无重大差异。结论是,如通过胰岛素低血糖试验所评估的,短时间ACTH试验能准确反映下丘脑 - 垂体 - 肾上腺的整体功能。

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