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91.
目的观察肠外营养与生长激素联合应用对大手术术后患者蛋白代谢的影响。方法将拟实施外科大手术(四类以上手术)熏APACHE-Ⅱ评分>7分的患者30例,入院后随机分为3组熏A组穴n=10雪押肠外营养治疗与生长激素穴金磊赛增雪联合治疗组(PN+GH)鸦B组穴n=10雪押肠外营养治疗组(PN)鸦C组穴n=10雪押正常补液组。其中A组在术后第2天开始给予生长激素皮下肌注,连续7d。结果术后8d内,B、C组患者均处于负氮平衡状态,血清白蛋白与胰岛素样生长因子-Ⅰ(IGF-Ⅰ)维持较低水平,A组在术后5d机体开始恢复氮平衡,血清白蛋白与IGF-Ⅰ水平逐渐上升,A组与B、C组比较差异有显著性(P<0.05)。结论较大的外科手术打击后,单纯给予常规的肠外营养要素不能被机体有效的利用,GH能够提高机体对肠外营养要素的利用率,促进机体蛋白合成。 相似文献
92.
本文报道了我院对315例男性不育症患者在第一次就诊时进行血清生殖激素FSH、LH、T、PRL、E2水平的检测,并进行详细的病史询问、常规体检和精液分析等检查。结果显示血清T值在不同的精子密度层次的男性不育症患者均呈正态分布。睾丸容积减少,FSH、LH上升,T/LH下降,提示睾丸功能损害,并且T/LH的比值更能反映间质细胞的功能。血清PRL和E2值在诊断高催乳素血症不育有意义,但在男性生育者和不生育者之间无明显差别。而且FSH值在鉴别睾丸原发性与梗阻性无精子症是一项重要指标。作者讨论了血清生殖激素测定在不育症诊断中、在判定睾丸功能的损害程度中的意义。 相似文献
93.
运动训练对雄性大鼠垂体─性腺轴功能的影响 总被引:3,自引:2,他引:1
本研究通过使用自己制造的大鼠流动水游泳池,对雄性大鼠进行了6周递增负荷的游泳训练,以此来探讨运动训练对大鼠垂体-性腺轴功能的影响,结果显示:与安静对照大鼠相比,训练大鼠的一般状态较差,血清睾酮水平显著降低(P<0.05),血清睾酮/皮质酮比值平均降低了30%以上;而血清LH和FSH水平未见明显变化。通过对大鼠睾丸组织LH/CG受体的测定,显示运动训练虽未引起其最大结合量的改变,却能使其解离常数显著升高(P<0.05)。提示此种训练可能通过降低睾丸LH/CG受体对垂体分泌LH的亲和力,从而影响睾酮的合成。 相似文献
94.
95.
白术茯苓汤及其配伍对脾虚大鼠胃肠激素的影响 总被引:3,自引:0,他引:3
目的:探讨益气健脾方剂治疗脾虚证的配伍规律。方法:采用苦寒泻下法复制大鼠脾虚模型,运用放射免疫分析法(RIA)检测白术茯苓汤及其与补气药。行气药及除湿药的不同配伍对脾虚大鼠胃泌素(GAS)、胃动素(MTL)及血管活性肠肽(VIP)的含量影响。结果:与正常对照组比较,脾虚模型大鼠GAS、MTL降低(P<0.01),VIP升高(P<0.01);与自然恢复组比较,各治疗组以上部分或全部指标均有不同程度的改善,其中,以综合配伍组改善作用最优。结论:白术茯苓汤的脾虚大鼠胃肠激素的紊乱的某些指标,有一定的改善作用,综合配合组以上指标的改善,优于白术茯苓汤组及其余各配伍组,说明中医关于复方配伍的理论与实践,有其科学价值。 相似文献
96.
目的 探讨精神分裂症患者血清三碘甲状腺原氨酸 (T3 )、甲状腺素 (T4 )的含量变化。方法 采用放射免疫法测定 2 0 3例精神分裂症患者和 15 6例正常健康人血清T3 、T4 含量 ,并进行比较。结果 精神分裂症组血清T3 、T4 均低于健康对照组 (P <0 .0 1或P <0 .0 5 ) ,男、女无显著差异 (P >0 .0 5 )。结论 精神分裂症可影响垂体 甲状腺轴系统 ,使内分泌调节功能紊乱 相似文献
97.
Mark F. Cotton Peter R. Donald Johan F. Schoeman Lana E. Van Zyl Cor Aalbers Carl J. Lombard 《Child's nervous system》1993,9(1):10-15
Intracranial pressure (ICP) monitored shortly after admission over a period of 1 h in 31 children with tuberculous meningitis (TBM) was significantly higher (median 22.5 mm Hg, range 8.4–50.9 mmHg) in 19 children with laboratory evidence of the syndrome of inappropriate antidiuretic hormone secretion (SIADH) than in 12 children without such evidence (median 16.2 mmHg, range 5.8–42.5 mmHg; P = 0.027). Neither plasma nor cerebrospinal fluid arginine vasopressin (AVP) was related to ICP (r = 0.33 and 0.13 respectively). Mean arterial pressure (MAP) was measured in 23 children and a moderate correlation was found with plasma AVP (r = 0.62; P = 0.0019). In TBM, plasma AVP may be secreted as a response to raised ICP in an effort to raise MAP and maintain cerebral perfusion pressure. In this setting excess fluid may be inappropriately retained, leading to hyponatremia and hypo-osmolemia. 相似文献
98.
Yves Tillet Martine Batailler Jean Thibault 《The Journal of comparative neurology》1993,330(2):195-220
The preoptic area contains most of the luteinizing hormone releasing hormone immunoreactive neurons and numerous monoaminergic afferents whose cell origins are unknown in sheep. Using tract tracing methods with a specific retrograde fluorescent tracer, fluorogold, we examined the cells of origin of afferents to the medial preoptic area in sheep. Among the retrogradely labeled neurons, immunohistochemistry for tyrosine hydroxylase, dopamine-β-hydroxylase, phenylethanolamine N-methyltransferase, and serotonin was used to characterize catecholamine and serotonin fluorogold labeled neurons. Most of the afferents came from the ipsilateral side to the injection site. It was observed that the medial preoptic area received major inputs from the diagonal band of Broca, the lateral septum, the thalamic paraventricular nucleus, the lateral hypothalamus, the area dorsolateral to the third ventricle, the perimamillary area, the amygdala, and the ventral part of the hippocampus. Other numerous, scattered, retrogradely labeled neurons were observed in the ventral part of the preoptic area, the vascular organ of the lamina terminalis, the ventromedial part of the hypothalamus, the periventricular area, the area lateral to the interpeduncular nucleus, and the dorsal vagal complex. Noradrenergic afferents came from the complex of the locus coeruleus (A6/A7 groups) and from the ventro-lateral medulla (group A1). However, dopaminergic and adrenergic neuronal groups retrogradely labeled with fluorogold were not observed. Serotoninergic fluorogold labeled neurons belonged to the medial raphe nucleus (B8, B5) and to the serotoninergic group situated lateral to the interpeduncular nucleus (S4). In the light of these anatomical data we hypothesize that these afferents have a role in the regulation of several functions of the preoptic area, particularly those related to reproduction. Accordingly these afferents could be involved in the control of luteinizing hormone releasing hormone (LHRH) pulsatility or of preovulatory LHRH surge. 相似文献
99.
The sequence of rat hypothalamic pro-thyrotropin releasing hormone, deduced by sequencing of cDNA, in addition to 5 TRH progenitor genitor sequences contains leader, trailer and 4 intervening sequences separated by paired basic amino acid sequences. We have developed radioimmunoassays to synthetic peptides corresponding to portions of these cryptic proTRH sequences and have used these assays to identify and partially characterize proTRH peptides, distinct from TRH, in extracts of rat brain. Two of these peptides correspond closely in size to one intervening sequence and the car☐y-terminal sequence of proTRH. Three other peptides correspond to the intact amino-terminal leader sequence and two peptides formed by a further cleavage of the leader sequence at an internal paired basic amino acid sequence. 相似文献
100.
Natural history of parathyroid function and calcium metabolism after kidney transplantation: a single-centre study. 总被引:10,自引:4,他引:6
Pieter Evenepoel Kathleen Claes Dirk Kuypers Bart Maes Bert Bammens Yves Vanrenterghem 《Nephrology, dialysis, transplantation》2004,19(5):1281-1287
BACKGROUND: The natural history of parathyroid function after successful renal transplantation (RT) and the factors predisposing to persistent hyperparathyroidism (HPT) are not well established. A better knowledge of these data may be helpful in the development of algorithms for optimal surveillance and treatment of HPT after successful RT. Our aim was to evaluate the post-transplant natural history of parathyroid function and calcium metabolism in patients with a functional renal graft and to identify risk factors for persistent HPT. METHODS: Charts of 1165 allograft kidney recipients transplanted between 1989 and 2000 were reviewed. Patients with an intact parathyroid hormone (iPTH) level available at the time of transplantation were identified. The charts of the latter patients were checked for a variety of demographic and clinical data, and all determinations of the iPTH concentration available since transplantation were recorded. Serum levels of calcium, phosphorus, alkaline phosphatases and creatinine, concurrently determined, were also registered. RESULTS: After an initial fall, iPTH levels showed a slow but steady decline towards the upper normal limit. The prevalence of persistent HPT, defined as an iPTH level > or =2.5 times the upper normal limit or the need for parathyroidectomy following transplantation, remained stable at approximately 17% up to 4 years after transplantation. Patients with persistent HPT had significantly elevated serum levels of iPTH, calcium and phosphorus at the time of RT, and had spent a longer time on dialysis. Post-transplant iPTH levels correlated significantly with transplant kidney function. CONCLUSION: Kidney transplant recipients with a high iPTH and calcium x phosphate product at the time of transplantation are at risk for persistent HPT especially when renal function is suboptimal. Therapy for persistent HPT, if considered, should be initiated 3 months post-transplantation since further spontaneous improvement of parathyroid function thereafter is limited. 相似文献