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[甲状腺功能正常和甲状腺毒症性甲状腺肿患者的自主神经系统功能]

[Autonomic nervous system function of euthyroid and thyrotoxic goiter patients].

作者信息

Aleksandrov V N, Kletskin S Z, Shukhgalter I A, Akatov I V, Nikitina T I

出版信息

Probl Endokrinol (Mosk). 1985 Nov-Dec;31(6):21-5.

PMID:3841393
Abstract

Variation pulsometry, a method of mathematical analysis of the cardiac rhythm, was used to assess function of the autonomic nervous system in patients with euthyroid and thyrotoxic goiter. Simultaneously orthostatic tests for a selective effect on parts of the autonomic nervous system were done. A total of 46 patients were examined: 16 with nodular forms of euthyroid goiter and 30 with thyrotoxic goiter III. In the patients with euthyroid goiter a moderate degree and in the patients with thyrotoxicosis a pronounced degree of tension of both parts of the regulation system were revealed. At the visceropathic stage of thyrotoxicosis, intra-endocrine interrelationships with the blockade of the sympathetic part of the autonomic nervous system are changed that can be of importance for working out medicamentous preoperative preparation of patients.

摘要

变异性脉搏测量法是一种分析心律的数学方法,用于评估甲状腺功能正常和甲状腺毒症性甲状腺肿患者的自主神经系统功能。同时进行了体位性试验,以对自主神经系统的不同部分产生选择性影响。共检查了46例患者:16例为结节性甲状腺功能正常性甲状腺肿患者,30例为III度甲状腺毒症性甲状腺肿患者。结果显示,甲状腺功能正常性甲状腺肿患者的调节系统两部分紧张程度为中度,甲状腺毒症患者的调节系统两部分紧张程度明显。在甲状腺毒症的内脏病变阶段,自主神经系统交感部分被阻断时的内分泌内部关系发生了变化,这对于制定患者术前药物准备可能具有重要意义。

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