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[氯地孕酮和氨磺必利治疗的艾迪生病患者的催乳素分泌]

[Prolactin secretion in Itsenko-Cushing disease patients treated with chloditan and peritol].

作者信息

Slavnov V N, Luchitskiĭ E V, Komissarenko I V, Cheban A K

出版信息

Probl Endokrinol (Mosk). 1982 Jul-Aug;28(4):39-44.

PMID:7122445
Abstract

Prolactin secretion was studied in 46 patients with Icenko-Cushing's disease in the acute stage, at the early and late terms of the treatment with khloditan and low doses of peritol and over a period of partial and clinical remission, resultant of the treatment with khloditan and high doses of peritol. The changes in the blood prolactin concentration were determined on the empty stomach by radioimmunoassay in the presence of insulin hypoglycemia and thyroliberin injection. It was found that the prolactin basal level in the blood of patients with Icenko-Cushing's disease remained elevated at the early and late terms of the treatment with khloditan and low doses of peritol and the adenohypophyseal reactivity to stimulants did not return to normal. Khloditan and high dose peritol treatment did not induce clinical and hormonal remission of the disease but resulted in the blood prolactin basal level increase and even more pronounced decrease in the adenohypophyseal reactivity to stimulants in comparison with those of the active stage of the disease. The blood prolactin concentration in patients with clinical remission lowered down to the level, being seen before the treatment, and the reactivity to stimulants significantly improved comparatively to that of the partial remission, but did not return to normal.

摘要

对46例处于急性期的艾申科 - 库欣病患者进行了催乳素分泌研究,研究时间涵盖使用氯地孕酮和低剂量奋乃静治疗的早期和晚期,以及在使用氯地孕酮和高剂量奋乃静治疗后出现部分缓解和临床缓解的阶段。通过在胰岛素低血糖和注射促甲状腺素释放激素的情况下,采用放射免疫分析法空腹测定血催乳素浓度的变化。结果发现,在使用氯地孕酮和低剂量奋乃静治疗的早期和晚期,艾申科 - 库欣病患者血液中的催乳素基础水平仍保持升高,腺垂体对刺激物的反应性未恢复正常。与疾病活动期相比,氯地孕酮和高剂量奋乃静治疗并未诱导疾病的临床和激素缓解,反而导致血液催乳素基础水平升高,腺垂体对刺激物的反应性下降更为明显。处于临床缓解期的患者血液催乳素浓度降至治疗前水平,对刺激物的反应性相较于部分缓解期有显著改善,但仍未恢复正常。

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