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溴隐亭治疗常规治疗后仍持续存在的肢端肥大症。

Bromoergocryptin treatment of acromegaly persisting following conventional therapy.

作者信息

Holdaway I M, Frengley P A, Scott D J, Ibbertson H K

出版信息

Clin Endocrinol (Oxf). 1978 Jan;8(1):45-54. doi: 10.1111/j.1365-2265.1978.tb01349.x.

DOI:10.1111/j.1365-2265.1978.tb01349.x
PMID:627091
Abstract

Bromoergocryptine has been used to lower growth hormone concentrations in ten patients with acromegaly in whom previous attempts at pituitary ablation had failed to cure the disorder. Plasma immunoreactive and plasma receptor-reactive growth hormone concentrations together with plasma somatomedin concentrations and urinary excretion of immunoreactive growth hormone were used to assess the response to treatment. Casual immunoreactive hormone concentrations in plasma were lowered to less than 8 mu/l and to less than 5 mu/l during glucose infusion in seven patients, and urinary growth hormone excretion was also brought into the normal range (less than 40 micromicron/12 h) in this group. There was at least a 40% reduction in these measurements in the remaining three patients who had the highest basal hormone concentrations of the group. Plasma somatomedin fell with treatment in eight patients, and intravenous glucose tolerance improved in seven of eight patients tested. Used in modest dosage (up to 15 mg/day) bromoergocryptine can lower plasma and urinary growth hormone and plasma somatomedin concentrations in acromegalic patients in whom previous treatments had decreased but not cured hormone overproduction.

摘要

溴隐亭已被用于降低10例肢端肥大症患者的生长激素浓度,这些患者先前的垂体切除尝试未能治愈该疾病。血浆免疫反应性和血浆受体反应性生长激素浓度,以及血浆生长调节素浓度和免疫反应性生长激素的尿排泄量,被用于评估治疗反应。7例患者在葡萄糖输注期间,血浆中随意免疫反应性激素浓度降至低于8 μ g/l,在葡萄糖输注期间降至低于5 μ g/l,并且该组患者的尿生长激素排泄也进入正常范围(低于40 μ g/12小时)。在该组基础激素浓度最高的其余3例患者中,这些测量值至少降低了40%。8例患者的血浆生长调节素随治疗下降,在接受测试的8例患者中,7例患者的静脉葡萄糖耐量得到改善。以适度剂量(高达15 mg/天)使用时,溴隐亭可降低肢端肥大症患者的血浆和尿生长激素以及血浆生长调节素浓度,这些患者先前的治疗已降低但未治愈激素分泌过多。

相似文献

1
Bromoergocryptin treatment of acromegaly persisting following conventional therapy.溴隐亭治疗常规治疗后仍持续存在的肢端肥大症。
Clin Endocrinol (Oxf). 1978 Jan;8(1):45-54. doi: 10.1111/j.1365-2265.1978.tb01349.x.
2
Changes in circulating somatomedin-C levels in bromocriptine-treated acromegaly.溴隐亭治疗肢端肥大症时循环中生长调节素-C水平的变化
Clin Endocrinol (Oxf). 1982 Oct;17(4):369-77. doi: 10.1111/j.1365-2265.1982.tb01602.x.
3
Bromocriptine therapy in acromegaly: use in patients resistant to conventional therapy and effect on serum levels of somatomedin C.溴隐亭治疗肢端肥大症:用于对传统治疗耐药的患者及对血清生长调节素C水平的影响
J Clin Endocrinol Metab. 1981 Oct;53(4):752-8. doi: 10.1210/jcem-53-4-752.
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Relationship between somatomedin-C and growth hormone levels in acromegaly: basal and dynamic evaluation.肢端肥大症中生长调节素-C与生长激素水平的关系:基础及动态评估
J Clin Endocrinol Metab. 1986 Dec;63(6):1348-53. doi: 10.1210/jcem-63-6-1348.
5
Bromocriptine therapy in patients with acromegaly: effects on growth hormone, somatomedin A and prolactin.溴隐亭治疗肢端肥大症患者:对生长激素、生长调节素A和催乳素的影响。
Acta Endocrinol Suppl (Copenh). 1978;216:199-206.
6
Changes of molecular forms of growth hormone in bromocriptine treated acromegaly in relation to changes of somatomedin-C and clinical response.溴隐亭治疗肢端肥大症时生长激素分子形式的变化与生长调节素C变化及临床反应的关系
Acta Endocrinol (Copenh). 1985 Feb;108(2):145-50. doi: 10.1530/acta.0.1080145.
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Effect of bromocriptine on serum hormones in acromegaly.溴隐亭对肢端肥大症患者血清激素的影响。
Horm Res. 1984;19(3):142-52. doi: 10.1159/000179881.
8
Reappraisal of bromocriptine treatment for acromegaly.溴隐亭治疗肢端肥大症的重新评估。
Horm Res. 1980;12(4):191-205. doi: 10.1159/000179121.
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Bromocriptine therapy in acromegaly: effects on plasma GH levels, somatomedin-C levels and clinical activity.溴隐亭治疗肢端肥大症:对血浆生长激素水平、生长调节素-C水平及临床活性的影响。
Clin Endocrinol (Oxf). 1985 Feb;22(2):209-17. doi: 10.1111/j.1365-2265.1985.tb01082.x.
10
Investigation of the criteria for assessing the outcome of treatment in acromegaly.肢端肥大症治疗结果评估标准的研究。
Clin Endocrinol (Oxf). 1987 Nov;27(5):553-62. doi: 10.1111/j.1365-2265.1987.tb01185.x.

引用本文的文献

1
Current status and future opportunities for controlling acromegaly.肢端肥大症控制的现状与未来机遇
Pituitary. 2002;5(3):185-96. doi: 10.1023/a:1023369317275.
2
Acromegaly. Recognition and treatment.肢端肥大症。识别与治疗。
Drugs. 1994 Mar;47(3):425-45. doi: 10.2165/00003495-199447030-00004.
3
Isolated ACTH deficiency confirmed by ACTH radioimmunoassay.通过促肾上腺皮质激素放射免疫测定法确诊的孤立性促肾上腺皮质激素缺乏症。
J Endocrinol Invest. 1980 Jan-Mar;3(1):45-9. doi: 10.1007/BF03348216.
4
Bromocriptine in the treatment of acromegaly.溴隐亭治疗肢端肥大症
Drugs. 1979 May;17(5):359-64. doi: 10.2165/00003495-197917050-00005.