Rudolf K, Kunkel S, Woltanski K P
Zentralbl Gynakol. 1985;107(23):1454-9.
In 19 patients aged from 12 to 24 years (average age 17.0 years) with Turner's syndrome the influence of the hormonal substitution with mestranol and chlormadinone acetate on both basal and arginine stimulated HGH secretion was investigated. This test was performed before, during and after treatment. HGH serum levels were determined by RIA. Both the basal values and the increase of HGH secretion after arginine stimulation were used for evaluation of the test results. Under estrogen-gestagen treatment in 15 of the 19 patients hypersomatotropic basal levels were determined. The basal HGH levels before and during as well as during and after treatment are significant different (p less than 0,01). The responsibility of the somatotrophs to the arginine stimulation was individually different and did not show any uniform trend.
在19例年龄在12至24岁(平均年龄17.0岁)的特纳综合征患者中,研究了炔雌醇甲醚和醋酸氯地孕酮激素替代疗法对基础生长激素(HGH)分泌以及精氨酸刺激的HGH分泌的影响。该测试在治疗前、治疗期间和治疗后进行。通过放射免疫分析法(RIA)测定血清HGH水平。基础值以及精氨酸刺激后HGH分泌的增加均用于评估测试结果。在19例患者中的15例接受雌激素 - 孕激素治疗期间,测定出基础生长激素水平过高。治疗前与治疗期间以及治疗期间与治疗后的基础HGH水平存在显著差异(p小于0.01)。生长激素细胞对精氨酸刺激的反应因人而异,未显示出任何一致的趋势。