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[促性腺激素释放激素作为诊断剂在一步法和两步法试验中的临床应用]

[Clinical use of Gonadorelin as a diagnostic agent in one- and two-step tests].

作者信息

Vesper B, Rohde W, Groot-Wassink T

出版信息

Zentralbl Gynakol. 1986;108(23):1442-52.

PMID:3103350
Abstract

Synthetic LH/RH Gonadorelin, produced by VEB Berlin-Chemie, was given to 11 women with a normal menstrual cycle during the middle of the follicle phase. It was proved as a very effective drug, which provoked a typical gonadotropin release. Also 10 patients with a secondary amenorrhea responded already to the first intravenous injection of 80 micrograms Gonadorelin with a peak level of gonadotropins, in particular with LH levels, after 30 to 60 minutes (delta 1 = 1 st peak level--0' level). The relative ascent of gonadotropins (delta 2 = 2nd peak level--120' level) after the second step i.v. administration of 80 micrograms Gonadorelin at a 120 minutes interval was not significantly higher than delta 1. The reaction of pituitary on LH/RH does not immediately depend on the basal level of gonadotropin values. It reflects the severity of the hypothalamic-pituitary functional disturbance. The "Gonadorelin-test" ist a good complement to the progesterone- and clomiphene-test.

摘要

由东德科学院柏林化学制药厂生产的合成促黄体激素释放激素(LH/RH)戈那瑞林,在卵泡期中期给予11名月经周期正常的女性。结果证明它是一种非常有效的药物,能引发典型的促性腺激素释放。另外,10名继发性闭经患者在首次静脉注射80微克戈那瑞林后,30至60分钟时促性腺激素达到峰值水平,尤其是促黄体生成素(LH)水平(δ1 = 第一个峰值水平 - 0' 水平)。在120分钟间隔时第二步静脉注射80微克戈那瑞林后,促性腺激素的相对上升幅度(δ2 = 第二个峰值水平 - 120' 水平)并不显著高于δ1。垂体对LH/RH的反应并不直接取决于促性腺激素值的基础水平。它反映了下丘脑 - 垂体功能紊乱的严重程度。“戈那瑞林试验”是对孕酮试验和克罗米芬试验的良好补充。

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1
[Clinical use of Gonadorelin as a diagnostic agent in one- and two-step tests].[促性腺激素释放激素作为诊断剂在一步法和两步法试验中的临床应用]
Zentralbl Gynakol. 1986;108(23):1442-52.
2
[Diagnostic significance of LH-RH two step test in women with normoestrogenic amenorrhea: analysis of the self-priming effect of the anterior pituitary glands].[LH-RH两步试验对雌激素正常性闭经女性的诊断意义:垂体前叶自我启动效应分析]
Nihon Sanka Fujinka Gakkai Zasshi. 1984 May;36(5):755-62.
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Plasma gonadotropin response to D-Ala6-LH-RH propylamide.血浆促性腺激素对D-丙氨酸6-促黄体生成素释放激素丙酰胺的反应。
Int J Fertil. 1978;23(3):224-8.
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[Study on human pituitary gonadotropin synthesis and release in amenorrhea and anovulation by LH-RH two step test].
Nihon Sanka Fujinka Gakkai Zasshi. 1984 May;36(5):719-26.
5
[Hypophyseal response to the administration of LH-RH based on the plasma level of estradiol in normal women and patients with amenorrhea].
Ann Ostet Ginecol Med Perinat. 1978 Jul-Aug;99(4):259-70.
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The primary level of gonadotropins and the LH-RH test in hypothalamic syndromes in women.女性下丘脑综合征中促性腺激素的初级水平及促黄体生成素释放激素试验
Mater Med Pol. 1980 Jan-Jun;12(1-2):110-3.
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[Value of the LH-RH test in secondary hypothalamic amenorrhea].[促黄体生成素释放激素试验在继发性下丘脑性闭经中的价值]
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[Gonadotropins].[促性腺激素]
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Obstet Gynecol. 1982 Jan;59(1):52-7.
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[Sequential clomiphene-LH-RH test in amenorrhea and anovulatory amenorrhea].[闭经和无排卵性闭经的序贯克罗米芬 - 促黄体生成素释放激素试验]
Acta Ginecol (Madr). 1975 Mar 15;26(6):341-52.