Oliĭnyk V A, Epshteĭn O V, Savran O V
Lik Sprava. 1997 Sep-Oct(5):85-9.
Basal concentration was measured of prolactin (PRL) as were its diurnal fluctuations in blood depending on the clinical association of primary hypothyrosis (PH) with lactorrhea-amenorrhea, lactorrhea only or lactorrhea associated with disturbances in menstrual and reproductive functions that differ from those in amenorrhea, and without such disturbances. Patients with lactorrhea-amenorrhea syndrome present with continual hyperprolactinemia and no physiological diurnal rythm of PRL secretion. In patients presenting without amenorrhea, and basal hyperprolactinemia, lactorrhea and disordered menses result from transitory "night-time" hyperprolactinemia. PH patients who do not present with lactorrhea and disordered menstrual and reproductive function show physiological diurnal rythm of PRL secretion, with its parameters corresponding to those in healthy women. The development of hyperprolactinemia in PH is not age-related; neither is it associated with severity of hypothyrosis.
测定了催乳素(PRL)的基础浓度及其血液中的昼夜波动情况,这些波动取决于原发性甲状腺功能减退症(PH)与溢乳-闭经、单纯溢乳或溢乳伴月经和生殖功能紊乱(不同于闭经情况)以及无此类紊乱的临床关联。溢乳-闭经综合征患者表现为持续性高催乳素血症,且催乳素分泌无生理性昼夜节律。在无闭经但有基础高催乳素血症的患者中,溢乳和月经紊乱是由短暂的“夜间”高催乳素血症引起的。未出现溢乳及月经和生殖功能紊乱的PH患者表现出催乳素分泌的生理性昼夜节律,其参数与健康女性的参数相对应。PH患者高催乳素血症的发生与年龄无关,也与甲状腺功能减退症的严重程度无关。