Oknin V Iu, Vnotchenko S L, Sadekov R K
Ter Arkh. 1994;66(10):29-32.
Patients with diffuse toxic goiter and those with vegetative dystonia and paroxysmal permanent disorders are shown to have parasympathetic deficiency and moderate sympathetic insufficiency. In toxic goiter patients hyperhydrosis was accompanied by normal conduction along the vegetative perspiration fibers and a significant increase in foot potential amplitude. In patients having vegetative crises there was reduced conduction along the perspiration fibers. Clinical symptoms of enhanced sympathetic activity in both the diseases can be explained by weak parasympathetic influences and hypersensitivity of peripheral tissues to catecholamines. Spilberger test ascertained high reactive and personal anxiety in both groups. By modified MMPI, toxic goiter patients are characterized by hypochondriac, depressive and anxiety trends. Patients with vegetative crises were prone to demonstrative reactions, hypochondria and anxiety.
弥漫性毒性甲状腺肿患者以及患有植物神经功能障碍和阵发性永久性疾病的患者表现出副交感神经功能不足和中度交感神经功能不全。在毒性甲状腺肿患者中，多汗症伴有植物性出汗纤维的正常传导以及足部电位幅度的显著增加。在患有植物神经危象的患者中，出汗纤维的传导减少。这两种疾病中交感神经活动增强的临床症状可以通过副交感神经影响减弱和外周组织对儿茶酚胺的超敏反应来解释。斯皮尔伯格测试确定两组患者均有高反应性和个人焦虑。通过改良的明尼苏达多相人格调查表，毒性甲状腺肿患者的特征是疑病、抑郁和焦虑倾向。患有植物神经危象的患者容易出现表演性反应、疑病和焦虑。
