Uvnäs-Moberg K, Sjögren C, Westlin L, Andersson P O, Stock S
Department of Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Acta Obstet Gynecol Scand. 1989;68(2):165-9. doi: 10.3109/00016348909009906.
The aim of the present study was to investigate whether plasma levels of gastrin, somatostatin, insulin, oxytocin, VIP and blood glucose levels vary during the menstrual cycle. Therefore, 19 healthy menstruating women (5 of whom were on low-dose oral contraceptives, o.c.) were blood sampled every second to third day during the menstrual cycle. Hormone levels were measured with radio-immunoassay. Gastrin, insulin, VIP and blood sugar levels remained unchanged during the menstrual cycle. Mean somatostatin levels were significantly lower in women receiving o.c. than in women without such medication (p less than 0.05). In women on o.c., somatostatin concentrations were also significantly lower during the menstrual week, than during the rest of the period (p less than 0.01), but in women without o.c., no such change occurred. Mean oxytocin levels were significantly higher in women on o.c. (p less than 0.001) and in these women, oxytocin levels recorded during the menstrual week were significantly lower than during the rest of the period (p less than 0.02). Systolic and diastolic blood pressure values were also significantly higher in women on o.c. (p less than 0.05 and p less than 0.01). In conclusion, these data show that basal plasma concentrations of gastrin, somatostatin, VIP, insulin and glucagon do not vary during the menstrual cycle. However, ingestion of low-dose oral contraceptives causes a significant decrease of somatostatin concentrations and a significant increase in oxytocin levels, suggesting that low doses of estrogens and/or gestagens may influence digestive and metabolic processes.
本研究的目的是调查胃泌素、生长抑素、胰岛素、催产素、血管活性肠肽的血浆水平以及血糖水平在月经周期中是否会发生变化。因此,对19名月经周期正常的健康女性(其中5名服用低剂量口服避孕药)在月经周期的每隔2至3天进行采血。采用放射免疫分析法测定激素水平。胃泌素、胰岛素、血管活性肠肽和血糖水平在月经周期中保持不变。服用口服避孕药的女性生长抑素平均水平显著低于未服用此类药物的女性(p<0.05)。在服用口服避孕药的女性中,月经周期间的生长抑素浓度也显著低于其他时期(p<0.01),但未服用口服避孕药的女性未出现这种变化。服用口服避孕药的女性催产素平均水平显著更高(p<0.001),并且在这些女性中,月经周期间记录的催产素水平显著低于其他时期(p<0.02)。服用口服避孕药的女性收缩压和舒张压值也显著更高(p<0.05和p<0.01)。总之,这些数据表明胃泌素、生长抑素、血管活性肠肽、胰岛素和胰高血糖素的基础血浆浓度在月经周期中不会发生变化。然而,服用低剂量口服避孕药会导致生长抑素浓度显著降低和催产素水平显著升高,这表明低剂量的雌激素和/或孕激素可能会影响消化和代谢过程。