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[肝硬化女性患者体内的催乳素]

[Prolactin in females with liver cirrhosis].

作者信息

Grün R

出版信息

Z Gastroenterol. 1985 Aug;23(8):446-54.

PMID:3933200
Abstract

The median plasma level of prolactin in 94 women with cirrhosis of the liver did not differ significantly when compared with a control group (8,0 versus 7,2 ng/ml). Nevertheless 22% of the investigated women exhibited a plasma prolactin level higher than 15 ng/ml. The prolactin concentrations correlated to the severeness of cirrhosis and in the subgroup with decompensated cirrhosis the prolactin concentrations were found to be significantly elevated (12 ng/ml). Like basal prolactin the TRH-induced prolactin release showed no significant difference between cirrhotic women and controls (36,1 versus 38,5 ng/ml). No difference could be observed between the prolactin concentrations of alcoholic or non alcoholic cirrhotic women, and prolactin did not correlate with estradiol or estrone plasma levels. Other factors than cirrhosis itself (i.e. medical treatment, renal insufficiency, stress) must be discussed as causing hyperprolactinemia in cirrhosis.

摘要

94名肝硬化女性的催乳素血浆水平中位数与对照组相比无显著差异(分别为8.0与7.2 ng/ml)。然而,22%的受调查女性血浆催乳素水平高于15 ng/ml。催乳素浓度与肝硬化严重程度相关,在失代偿期肝硬化亚组中,催乳素浓度显著升高(12 ng/ml)。与基础催乳素一样,促甲状腺激素释放激素诱导的催乳素释放,在肝硬化女性和对照组之间无显著差异(分别为36.1与38.5 ng/ml)。酒精性或非酒精性肝硬化女性的催乳素浓度无差异,且催乳素与雌二醇或雌酮血浆水平无关。必须探讨除肝硬化本身之外的其他因素(如药物治疗、肾功能不全、应激)导致肝硬化患者高催乳素血症的原因。

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