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戊酸雌二醇疗法与去势女性的肾素 - 醛固酮系统

Estradiol valerate therapy and the renin--aldosterone system in castrated women.

作者信息

Punnonen R, Lammintausta R, Erkkola R, Rauramo L

出版信息

Maturitas. 1980 Jul;2(2):91-4. doi: 10.1016/0378-5122(80)90041-9.

DOI:10.1016/0378-5122(80)90041-9
PMID:7010080
Abstract

The effect of estradiol valerate (Progynova, 2 mg daily) on the renin--aldosterone system was studied in nine women after bilateral oophorectomy. Plasma renin activity (PRA) and the daily urinary excretion of aldosterone (dU-Ald) were determined 4 mth after the operation -- during which no estrogen was given -- and after 3 mth on estrogen therapy. Plasma estradiol concentration rose in 7 subjects to the normal postovulatory level. No changes were found in PRA or dU-Ald. The results suggest that an effective estradiol valerate therapy is not accompanied with activation of renin--aldosterone system, while synthetic and non-human natural estrogens (Premarin) were shown earlier to increase PRA.

摘要

在9名双侧卵巢切除术后的女性中研究了戊酸雌二醇(补佳乐,每日2毫克)对肾素 - 醛固酮系统的影响。在术后4个月(期间未给予雌激素)以及雌激素治疗3个月后测定血浆肾素活性(PRA)和醛固酮的每日尿排泄量(dU-Ald)。7名受试者的血浆雌二醇浓度升至正常排卵后水平。未发现PRA或dU-Ald有变化。结果表明,有效的戊酸雌二醇治疗不会伴随肾素 - 醛固酮系统的激活,而合成的非天然雌激素(倍美力)早些时候已显示会增加PRA。

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