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年龄增长对女性垂体激素功能的影响(作者译)

[Hormonal pituitary functions of women with increasing age (author's transl)].

作者信息

Takeda N

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1981 Oct;33(10):1711-20.

PMID:6273485
Abstract

Pituitary functioning was observed endocrinologically in women in mature, climacteric and senile periods, and also patients after ovariectomy of both sides. Serum FSH and LH levels, especially in the former, showed a tendency towards increasing from the climacterium (45-49 years) up to the age of 60-64, and thereafter remained constant in a defined level. Serum PRL, ACTH and GH levels had a tendency to decrease after menopause. Serum TSH levels decreased from the age of 60-64 years. The change of responses for LH-RH tests with advancing age was found to be similar to that of serum gonadotropin levels. On the other hand, in the changes of response of PRL and TSH to TRH test with increasing age, there was a reverse tendency to that of gonadotropin to LH-RH. In ovariectomized women who still had a menstrual cycle, there was a great increase in serum FSH and LH after the operation, as against those who had spent 3 years and 10 months, or 4 years and 4 months after menopause, a slight or little increase respectively. Meanwhile, the LH response to LH-RH was higher in the premenopausal ovariectomized women than that of the post-menopausal unovariectomized women.

摘要

对处于成熟、更年期和老年期的女性以及双侧卵巢切除术后的患者进行了垂体功能的内分泌学观察。血清促卵泡生成素(FSH)和促黄体生成素(LH)水平,尤其是前者,从更年期(45 - 49岁)到60 - 64岁呈现出上升趋势,此后在一定水平保持稳定。绝经后血清催乳素(PRL)、促肾上腺皮质激素(ACTH)和生长激素(GH)水平有下降趋势。血清促甲状腺激素(TSH)水平从60 - 64岁开始下降。发现随着年龄增长,促性腺激素释放激素(LH - RH)试验的反应变化与血清促性腺激素水平的变化相似。另一方面,随着年龄增长,PRL和TSH对促甲状腺激素释放激素(TRH)试验的反应变化与促性腺激素对LH - RH的反应变化呈相反趋势。在仍有月经周期的卵巢切除女性中,术后血清FSH和LH大幅升高,而对于绝经后分别已度过3年10个月或4年4个月的女性,血清FSH和LH分别有轻微或少量升高。同时,绝经前卵巢切除女性对LH - RH的LH反应高于绝经后未切除卵巢女性。

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