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雌激素治疗前列腺癌患者的代谢效应:己烯雌酚与结合马雌激素的比较

Metabolic effects of oestrogen treatment in patients with carcinoma of prostate: a comparison of stilboestrol and conjugated equine oestrogens.

作者信息

Shahmanesh M, Bolton C H, Feneley R C, Hartog M

出版信息

Br Med J. 1973 Jun 2;2(5865):512-4. doi: 10.1136/bmj.2.5865.512.

DOI:10.1136/bmj.2.5865.512
PMID:4736626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1589596/
Abstract

Serum cholesterol and triglyceride levels were estimated and oral glucose tolerance tests performed on 16 patients with carcinoma of the prostate before treatment and while receiving stilboestrol in doses of 1 mg, 7.5 mg, and 15 mg daily and conjugated equine oestrogens (Premarin) 15 mg daily. Serum triglyceride levels were greater than 170 mg/100 ml in nearly all the patients while receiving Premarin or stilboestrol 7.5 mg and 15 mg daily. In six out of 10 patients who were given stilboestrol 1 mg daily the serum triglycerides remained within the normal range. No significant effects on serum cholesterol levels or glucose tolerance tests were observed with the various oestrogen regimens. The results support previous suggestions that a daily dose of 1 mg of stilboestrol should be regularly used in the treatment of carcinoma of the prostate.

摘要

对16例前列腺癌患者在治疗前以及接受每日1毫克、7.5毫克和15毫克己烯雌酚治疗时,以及每日接受15毫克结合马雌激素(倍美力)治疗时,测定血清胆固醇和甘油三酯水平,并进行口服葡萄糖耐量试验。几乎所有接受倍美力或每日7.5毫克和15毫克己烯雌酚治疗的患者血清甘油三酯水平均高于170毫克/100毫升。在每日服用1毫克己烯雌酚的10例患者中,有6例患者的血清甘油三酯仍在正常范围内。各种雌激素治疗方案对血清胆固醇水平或葡萄糖耐量试验均未观察到显著影响。这些结果支持了之前的建议,即每日1毫克己烯雌酚应常规用于前列腺癌的治疗。

相似文献

1
Metabolic effects of oestrogen treatment in patients with carcinoma of prostate: a comparison of stilboestrol and conjugated equine oestrogens.雌激素治疗前列腺癌患者的代谢效应:己烯雌酚与结合马雌激素的比较
Br Med J. 1973 Jun 2;2(5865):512-4. doi: 10.1136/bmj.2.5865.512.
2
Response of serum cholesterol and triglycerides to hormone treatment and the relation of pretreatment values to mortality in patients with prostatic cancer.血清胆固醇和甘油三酯对激素治疗的反应以及前列腺癌患者治疗前数值与死亡率的关系。
Cancer. 1976 Sep;38(3):1095-107. doi: 10.1002/1097-0142(197609)38:3<1095::aid-cncr2820380309>3.0.co;2-z.
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Comparison of the effects of ethinyl oestradiol and conjugated equine oestrogens in oophorectomized women.
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Effect of diethylstilbestrol on blood glucose of prostatic cancer patients.己烯雌酚对前列腺癌患者血糖的影响。
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引用本文的文献

1
Effects of cyproterone acetate and a long-acting LHRH analogue on serum lipoproteins in patients with carcinoma of the prostate.醋酸环丙孕酮和长效促性腺激素释放激素类似物对前列腺癌患者血清脂蛋白的影响。
J R Soc Med. 1986 Apr;79(4):210-1. doi: 10.1177/014107688607900407.
2
The choice of estrogen preparations in the treatment of prostatic cancer.治疗前列腺癌时雌激素制剂的选择。
Can Med Assoc J. 1975 Nov 8;113(9):865-7.

本文引用的文献

1
Long-term effects of high-dosage estrogen therapy in men with coronary heart disease.高剂量雌激素疗法对冠心病男性患者的长期影响。
J Chronic Dis. 1963 Feb;16:155-61. doi: 10.1016/0021-9681(63)90092-4.
2
Oral glucose tolerance and related factors in a normal population sample. I. Blood sugar, plasma insulin, glyceride, and cholesterol measurements and the effects of age and sex.正常人群样本中的口服葡萄糖耐量及相关因素。I. 血糖、血浆胰岛素、甘油酯和胆固醇测量以及年龄和性别的影响。
Br Med J. 1969 Mar 8;1(5644):595-8. doi: 10.1136/bmj.1.5644.595.
3
Studies on the mechanism of increased plasma triglyceride levels induced by oral contraceptives.口服避孕药所致血浆甘油三酯水平升高机制的研究。
N Engl J Med. 1969 Feb 27;280(9):471-4. doi: 10.1056/NEJM196902272800904.
4
Effect of estrogen on the serum cholesterol and triglyceride levels of prostatic cancer patients.雌激素对前列腺癌患者血清胆固醇和甘油三酯水平的影响。
J Urol. 1971 Jun;105(6):847-9. doi: 10.1016/s0022-5347(17)61644-6.
5
Serum cholesterol measurement based on ethanol extraction and ferric chloride-sulfuric acid.基于乙醇萃取和三氯化铁-硫酸法的血清胆固醇测定
Clin Chim Acta. 1968 Aug;21(2):255-63. doi: 10.1016/0009-8981(68)90135-6.
6
Treatment of prostatic cancer: studies by the Veterans Administration cooperative urological research group.前列腺癌的治疗:退伍军人管理局泌尿外科合作研究小组的研究
Bull N Y Acad Med. 1972 Jun;48(5):751-66.
7
Cancer of the prostate:estrogen therapy: natural conjugated estrogen vs. Stillbestrol: A point of view.前列腺癌:雌激素治疗:天然结合雌激素与己烯雌酚对比:一种观点
Rev Surg. 1968 Sep-Oct;25(5):323-9.
8
Electrophoretic separation of plasma lipoproteins in agarose gel.血浆脂蛋白在琼脂糖凝胶中的电泳分离。
J Lipid Res. 1968 Nov;9(6):693-700.
9
Effect of oestrogens on human platelet behaviour.雌激素对人体血小板行为的影响。
Lancet. 1968 Aug 10;2(7563):315-8. doi: 10.1016/s0140-6736(68)90528-x.
10
Some effects of oral contraceptives on carbohydrate metabolism.口服避孕药对碳水化合物代谢的一些影响。
Lancet. 1966 Oct 1;2(7466):715-9. doi: 10.1016/s0140-6736(66)92978-3.