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中国女性群体正常月经周期的内分泌特征。

The endocrinological profile of normal menstrual cycles in a population of Chinese women.

作者信息

Xiao B L, Zhang X L, Yan W Q, Dong L, Jia M C, Lin S Q, Feng D D, Wu E

出版信息

Contraception. 1985 Mar;31(3):217-30. doi: 10.1016/0010-7824(85)90092-7.

Abstract

Endocrinological profiles of normal menstrual cycles were studied in 41 Chinese women. Daily serum concentration of luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin (PRL), estradiol (E2) and progesterone (P) were determined by RIA. Thirty-four cycles were of normal length (26-35 days) and 6 cycles were prolonged up to 40 days with a follicular phase of 22-26 days. One cycle was anovulatory. Cyclical changes of LH, FSH, E2 and P were typical of ovulatory cycles in other populations as reported in the literature. In the normal cycle group the geometric mean of the LH midcycle peak level was 46 IU/1, the FSH peak was 10 IU/1, the preovulatory estradiol peak was 1229 pmol/1 and the progesterone luteal maximum was 50 nmol/1. The pattern of cyclical changes in the prolonged ovulatory cycles was similar to the normal length cycles, except that there were significantly higher levels of LH in both follicular and luteal phases, lower FSH in luteal phase, and lower progesterone in luteal phase. A majority of cycles had a midcycle elevation of prolactin and mean PRL levels in the late luteal phase were higher than those in the follicular phase.

摘要

对41名中国女性的正常月经周期的内分泌特征进行了研究。采用放射免疫分析法测定血清中促黄体生成素(LH)、促卵泡激素(FSH)、催乳素(PRL)、雌二醇(E2)和孕酮(P)的每日浓度。34个周期长度正常(26 - 35天),6个周期延长至40天,卵泡期为22 - 26天。1个周期无排卵。LH、FSH、E2和P的周期性变化与文献报道的其他人群的排卵周期典型变化一致。在正常周期组中,LH周期中期峰值水平的几何平均值为46 IU/L,FSH峰值为10 IU/L,排卵前雌二醇峰值为1229 pmol/L,孕酮黄体期最大值为50 nmol/L。延长的排卵周期的周期性变化模式与正常长度周期相似,只是卵泡期和黄体期的LH水平显著更高,黄体期的FSH水平更低,黄体期的孕酮水平更低。大多数周期在周期中期催乳素升高,黄体晚期的平均PRL水平高于卵泡期。

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