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[反应性抑郁症患者临床激素指标的动态变化]

[Dynamics of clinical hormonal indices in patients with reactive depressions].

作者信息

Skorokhodova G F, Kupriianova I E, Lishmanov Iu B

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(3):98-101.

PMID:3289291
Abstract

Using radioimmunoassay the authors studied the patterns of plasma levels of cortisol, insulin, triiodothyronine, and thyroxine in patients with acute and protracted reactive depressions. The patients had higher cortisol levels and lower immunoreactivity of the other three hormones as compared to a group of healthy donors. Patients with acute depressions had higher values of cortisol than those with protracted ones. The treatment tended to normalize the hormonal parameters which was parallelled by positive clinical dynamics. Patients with protracted reactive depressions were more resistant to the conducted therapy. Concentrations of plasma hormones (with the exception of insulin) at the end of the treatment remained altered as compared to those in healthy subjects.

摘要

作者使用放射免疫分析法研究了急性和迁延性反应性抑郁症患者血浆皮质醇、胰岛素、三碘甲状腺原氨酸和甲状腺素水平的模式。与一组健康献血者相比,患者的皮质醇水平较高,而其他三种激素的免疫反应性较低。急性抑郁症患者的皮质醇值高于迁延性抑郁症患者。治疗倾向于使激素参数正常化,这与积极的临床动态变化平行。迁延性反应性抑郁症患者对所进行的治疗更具抗性。与健康受试者相比,治疗结束时血浆激素(胰岛素除外)的浓度仍有变化。

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