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抑郁症患者促甲状腺激素、生长激素、前清蛋白及皮质醇对促甲状腺激素释放激素的反应

TSH, HGH, HPr, and cortisol response to TRH in depressed patients.

作者信息

Ramseier F, Gastpar M, Girard J

出版信息

Acta Psychiatr Belg. 1980 Jul-Aug;80(4):399-409.

PMID:6792865
Abstract

An intravenous (0.2 mg) and an oral (40 mg) TRH-test was performed on 21 depressed patients (4 psychogenous, 17 endogenous); TSH, HGH, HRr, Cortisol, T3, T4 and RT4 were measured. The test was redone after 3 weeks of antidepressive treatment. Using an oral stimulation, it looks like there would be a possibility to differentiate into different groups according to the severity of illness. It also seems that the oral stimulation is a possibility to get information on the beginning effectiveness of antidepressive treatment. The responsiveness to the oral stimulus returns earlier than the response to the i.v. stimulation. Roughly, one can also differentiate between endogenous and psychogenous depression with an oral TRH test.

摘要

对21名抑郁症患者(4名心因性,17名内因性)进行了静脉注射(0.2毫克)和口服(40毫克)促甲状腺激素释放激素(TRH)测试;测量了促甲状腺激素(TSH)、生长激素(HGH)、心率反应(HRr)、皮质醇、三碘甲状腺原氨酸(T3)、甲状腺素(T4)和反T3(RT4)。在抗抑郁治疗3周后重复进行该测试。采用口服刺激法,似乎有可能根据疾病严重程度将患者分为不同组。口服刺激法似乎也有可能获取抗抑郁治疗初期疗效的信息。对口服刺激的反应比静脉注射刺激的反应恢复得更早。大致来说,通过口服TRH测试也可以区分内因性和心因性抑郁症。

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