Goyal Alpesh, Kubihal Suraj, Gupta Yashdeep, Jyotsna Viveka P, Khadgawat Rajesh
Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Indian J Endocrinol Metab. 2019 Nov-Dec;23(6):593-601. doi: 10.4103/ijem.IJEM_553_19.
Dynamic tests are often considered as the backbone of endocrinology. These tests involve the use of an exogenous agent to manipulate the body's hormonal milieu for the diagnosis and characterization of an endocrine disorder. They are especially helpful in the evaluation of certain endocrine conditions, such as disorders of growth and pubertal maturation and disorders of sex development. A great deal of heterogeneity exists across clinicians with regard to the usage, methodology, and interpretation of these tests. This review outlines various dynamic tests used to evaluate adrenal and gonadal function in pediatric and adult endocrinology, along with their clinical application and interpretation.
动态试验通常被视为内分泌学的支柱。这些试验涉及使用外源性物质来操纵人体的激素环境,以诊断和鉴别内分泌紊乱。它们在评估某些内分泌疾病时特别有用,例如生长和青春期成熟障碍以及性发育障碍。临床医生在这些试验的使用、方法和解读方面存在很大差异。本综述概述了用于评估儿科和成人内分泌学中肾上腺和性腺功能的各种动态试验,以及它们的临床应用和解读。