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向神经性厌食症患者注射促甲状腺激素释放激素后生长激素的释放情况。

Growth hormone release following thyrotrophin-releasing hormone injection into patients with anorexia nervosa.

作者信息

Maeda K, Kato Y, Yamaguchi N, Chihara K, Ohgo S

出版信息

Acta Endocrinol (Copenh). 1976 Jan;81(1):1-8. doi: 10.1530/acta.0.0810001.

DOI:10.1530/acta.0.0810001
PMID:813470
Abstract

The effect of thyrotrophin-releasing hormone (TRH) or luteinizing hormone-releasing hormone (LH-RH) on plasma levels of growth hormone (GH), prolactin (PRL), thyrotrophin (TSH), and luteinizing hormone (LHY, were studied in patients with anorexia nervosa. The basal plasma GH levels were elevated in 6 of 11 patients studied. Intravenous injection of synthetic TRH T500 mug) significantly raised the plasma GH levels in 9 of 11 patients. The peak values of plasma GH after TRH ranged from 6.0 to 31.5 ng/ml. Plasma GH concentrations also increased following the administration of synthetic LH-RH (100 mug) 1 of 7 patients. The intravenous injection of saline solution caused no significant change in plasma GH in these patients. The plasma LH responses to LH-RH were significantly blunted in all patients, whereas the plasma PRL and TSH responses to TRH were almost normal in the patients examined. These results suggest that the hypothalamo-pituitary function regulating GH and LH secretion is altered in patients with anorexia nervosa.

摘要

对神经性厌食症患者研究了促甲状腺激素释放激素(TRH)或促黄体生成素释放激素(LH-RH)对血浆生长激素(GH)、催乳素(PRL)、促甲状腺激素(TSH)和促黄体生成素(LHY)水平的影响。在11例研究患者中,有6例基础血浆GH水平升高。静脉注射合成TRH(500微克)使11例患者中的9例血浆GH水平显著升高。TRH注射后血浆GH的峰值在6.0至31.5纳克/毫升之间。给予合成LH-RH(100微克)后,7例患者中有1例血浆GH浓度也升高。静脉注射生理盐水对这些患者的血浆GH无显著影响。所有患者对LH-RH的血浆LH反应均明显迟钝,而在接受检查的患者中,血浆PRL和TSH对TRH的反应几乎正常。这些结果表明,神经性厌食症患者调节GH和LH分泌的下丘脑-垂体功能发生了改变。

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[Dexamethasone suppression test in anorexia nervosa].
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