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急性心理应激内分泌反应的时间动力学

Time kinetics of the endocrine response to acute psychological stress.

作者信息

Richter S D, Schürmeyer T H, Schedlowski M, Hädicke A, Tewes U, Schmidt R E, Wagner T O

机构信息

Division of Endocrinology, Hannover Medical School, Germany.

出版信息

J Clin Endocrinol Metab. 1996 May;81(5):1956-60. doi: 10.1210/jcem.81.5.8626864.

Abstract

A first-time parachute jump was chosen as a model to evaluate the endocrine response to acute psychological stress. In 43 inexperienced tandem parachutists, blood was drawn continuously from 2 h before to 1 h after the jump and analyzed at 10-min intervals for plasma concentrations of epinephrine (E), norepinephrine (NE), cortisol, GH, PRL, and TSH. In addition, heart rate was recorded throughout the experiment. There was a significant increase in heart rate and E concentrations during the jump itself. NE, cortisol, GH, PRL, and TSH peaked with a latency of 10-20 min. Apart from cortisol and TSH concentrations, which were still elevated 1 h after the stress event, plasma levels of the other endocrine variables normalized within 1 h following the jump. Statistically significant cross-correlations could be observed between E and NE (r = 0.60, no time lag) and between E and PRL (r = 0.58, 10-min time lag) only. Even in a very homogenous group of subjects and under well-controlled conditions, endocrine responses to acute psychological stress show considerable variations.

摘要

首次跳伞被选作评估急性心理应激内分泌反应的模型。对43名无经验的双人跳伞者,在跳伞前2小时至跳伞后1小时连续采血,每隔10分钟分析血浆肾上腺素(E)、去甲肾上腺素(NE)、皮质醇、生长激素(GH)、催乳素(PRL)和促甲状腺激素(TSH)的浓度。此外,在整个实验过程中记录心率。跳伞过程中心率和E浓度显著增加。NE、皮质醇、GH、PRL和TSH在10 - 20分钟的延迟后达到峰值。除了应激事件1小时后皮质醇和TSH浓度仍升高外,其他内分泌变量的血浆水平在跳伞后1小时内恢复正常。仅在E与NE(r = 0.60,无时间滞后)以及E与PRL(r = 0.58,10分钟时间滞后)之间观察到具有统计学意义的交叉相关性。即使在非常同质的受试者群体和严格控制的条件下,急性心理应激的内分泌反应仍表现出相当大的差异。

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