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[健康女性月经周期中雌激素、孕二醇、17-酮类固醇组分、皮质醇及其代谢产物的尿排泄动态]

[Dynamics of the urinary excretion of estrogens, pregnanediol, 17-ketosteroid fractions, cortisol and its metabolites in healthy women in the course of the menstrual cycle].

作者信息

Iankelevich D E, Nikolaeva V M

出版信息

Probl Endokrinol (Mosk). 1977 Mar-Apr;23(2):39-43.

PMID:905243
Abstract

The 24-hour urinary estrogen excretion was studied in 12 women of reproductive age at periods corresponding to the middle and the end of the follicular phase, the middle and the end of the lutein phase of the menstrual cycle; pregnandiol excretion was determined at the same periods in 20 women, the urinary sum total and individual 17-KS content--in 26 women, free cortizol and its metabolites--in 19 women. The 24-hour estrogen excretion reached the maximum on the days corresponding to the ovulation peak (the 14th-15th days), and remained at a sufficiently high level in the middle of the lutein phase. Pregnandiol excretion increased by the end of the folliculin phase and reached the maximum during the lutein phase. During the mentioned most active periods of the menstrual cycle there was also noted a significant elevation of androstendione, androsterone, ethiocholanolone and free hydrocortizone excretion. The absolute amount and relative content of dehydroepiandrosterone in the sum total fractions of the urinary 17-ketosteroids proved to diminish. Cortizol metabolite excretion decreased as well. A regular direction of the changes occurring in the 24-hour excretion of individual 17-KS fractions, cortizol and its metabolites in the course of the menstrual cycle was apparently associated with the synthesis and transformation of sex hormones.

摘要

对12名育龄妇女在月经周期的卵泡期中期和末期、黄体期中期和末期对应的时段进行了24小时尿雌激素排泄研究;对20名妇女在相同时段测定了孕二醇排泄量,对26名妇女测定了尿中17 - 酮类固醇的总量及各成分含量,对19名妇女测定了游离皮质醇及其代谢产物。24小时雌激素排泄量在对应排卵高峰的日子(第14 - 15天)达到最高值,并在黄体期中期维持在足够高的水平。孕二醇排泄量在卵泡期结束时增加,并在黄体期达到最高值。在月经周期上述最活跃的时段,还观察到雄烯二酮、雄酮、本胆烷醇酮和游离氢化可的松排泄量显著升高。尿17 - 酮类固醇总成分中脱氢表雄酮的绝对量和相对含量均减少。皮质醇代谢产物排泄量也降低。月经周期中各17 - 酮类固醇成分、皮质醇及其代谢产物24小时排泄量变化的规律方向显然与性激素的合成和转化有关。

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