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[下丘脑综合征神经内分泌代谢型患者的外周循环调节]

[Peripheral circulation regulation in patients with the neuroendocrine metabolic form of hypothalamic syndrome].

作者信息

Slavnov V N, Markov V V, Kovpan N A, Rudichenko V M, Terekhova G N

出版信息

Probl Endokrinol (Mosk). 1993 Nov-Dec;39(6):17-20.

PMID:7904751
Abstract

Peripheral circulation and regulating hormonal (renin-angiotensin-aldosterone system) and electrolytic (plasma sodium and potassium) factors were studied in 102 patients with the hypothalamic syndrome neuroendocrine metabolic form administered pathogenetic therapy with antiserotonin and dopaminergic drugs as well as routine therapy. Blood plasma sodium vasopressin and aldosterone levels were found increased, arterial vessel reactivity in the forearm reduced, and venous circulation disordered in these patients. Routine therapy failed to normalize electrolytes and hormonal parameters and was conducive to a still more marked reduction of arterial vessel reactivity. Peritol therapy resulted in a reduction of vasopressin concentration and normalization of blood plasma sodium and aldosterone, as well as in improvement of the myogenic mechanisms of vascular tone regulation and normalization of venous circulation parameters. A course of parlodel therapy lead to normalization of blood plasma levels of vasopressin, aldosterone, and sodium but no changes in the regional vessels were observed.

摘要

对102例神经内分泌代谢型下丘脑综合征患者进行了外周循环以及调节激素(肾素-血管紧张素-醛固酮系统)和电解质(血浆钠和钾)因素的研究,这些患者接受了抗血清素和多巴胺能药物的病因治疗以及常规治疗。发现这些患者血浆钠、血管加压素和醛固酮水平升高,前臂动脉血管反应性降低,静脉循环紊乱。常规治疗未能使电解质和激素参数恢复正常,反而导致动脉血管反应性进一步明显降低。培多普利治疗使血管加压素浓度降低,血浆钠和醛固酮恢复正常,同时改善了血管张力调节的肌源性机制,静脉循环参数恢复正常。甲磺酸溴隐亭治疗疗程使血管加压素、醛固酮和钠的血浆水平恢复正常,但未观察到局部血管有变化。

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