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[肾上腺素能神经支配对甲状腺切除术后修复程度的影响]

[Effect of adrenergic innervation on the degree of reparation of the thyroid after its resection].

作者信息

Riashchikov S N, Glumova V A, Trusov V V

出版信息

Probl Endokrinol (Mosk). 1989 Jan-Feb;35(1):83-7.

PMID:2717583
Abstract

The time course of thyroid functional changes in normal and in partial desympathization was observed in experiments on 250 albino male rats aged 15 days, 1, 3, 6, 12 and 24 mos. Desympathization was induced by the administration of guanethidine at a dose of 15 mg/kg of body mass in the first 14 days after birth. Resection of the two thirds of the gland was performed on the 3rd, 5th, 7th, 15th and 30th days before killing. T3, T4, CT and TSH levels were determined by radioimmunoassay. Analysis of thyroid hormonal patterns showed variability of functional changes of this organ in desympathization. Desympathization at the age of 15 days and one month led to thyroid functional suppression, later on a rise of hormonogenesis was noted as a result of enhanced production of the pituitary body and CT. At the age of 1 and 3 mos. after thyroidectomy the rates of implementation of thyroid reparative potentials in desympathization were much higher than those in controls and were accompanied by a more marked increase in TSH. At the age of 12 mos. the resection of the two thirds of the thyroid caused a progressive decrease in the level of serum TSH which determined a decrease in the rate of normalization of the thyroid status.

摘要

在对250只15日龄、1、3、6、12和24月龄的白化雄性大鼠进行的实验中,观察了正常和部分去交感神经状态下甲状腺功能变化的时间进程。在出生后的前14天,以15毫克/千克体重的剂量给予胍乙啶诱导去交感神经。在处死前的第3、5、7、15和30天,切除三分之二的甲状腺。通过放射免疫测定法测定T3、T4、降钙素(CT)和促甲状腺激素(TSH)水平。对甲状腺激素模式的分析表明,该器官在去交感神经状态下功能变化具有可变性。15日龄和1月龄时去交感神经导致甲状腺功能抑制,随后由于垂体和降钙素分泌增加,激素生成增加。在1和3月龄时,甲状腺切除术后去交感神经状态下甲状腺修复潜能的实现率远高于对照组,且伴有TSH更明显的升高。在12月龄时,切除三分之二的甲状腺导致血清TSH水平逐渐下降,这决定了甲状腺状态正常化速率的降低。

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