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抗癫痫药对男性癫痫患者性激素的影响
引用本文:周树舜,马少春.抗癫痫药对男性癫痫患者性激素的影响[J].卒中与神经疾病,1994(1).
作者姓名:周树舜  马少春
作者单位:华西医科大学附一院神经内科
摘    要:用放免法测定20例服用苯妥英钠(DPH),20例服用卡马西平(CBZ)的男性癫痫患者的血清性激素水平,包括总睾酮(TT)、游离睾酮(FT)和雌二醇(E2),并与10例性功能正常男性和23例未服药的癫痫男性患者对比。结果发现:DPH引起TT和E2升高,CBZ则引起下降。说明两种抗癫痫药对性激素的影响机理不同,因而处理也不完全相同。

关 键 词:抗癫痫药,男性癫痫患者,性激素

The effects of antiepileptic drugs on sex hormones in male patients with epilepsy
Zhou Shushun,Ma Saochung..The effects of antiepileptic drugs on sex hormones in male patients with epilepsy[J].Stroke and Nervous Diseases,1994(1).
Authors:Zhou Shushun  Ma Saochung
Abstract:The effects of phenytoin(DPH)and carbamazepine(CBZ)therapy on sex hormones in male patients with epilepsy were evaluated by measuring the level of estradiol(E2).total testerone(TT)and free testerone(FT)in 20 male patients with epilepsy receiving DPH,in 20 male patients with epilepsy receiving CBZ.in 23 untreated male patients with epilepsy and in 10 healthy age-matched control subjects.FT levels were significantly lower and TT levels were significantly higher in DPH group than in the normal control group(P<0.05).E2 levels in DPH group were higher than in the normal control group.E2,FT,and TT were all lower in CBZ group than in normal control group.It suggested that the treatments should not be the same because of the different mechanisms between DPH and CBZ which had effects on sex hormones.
Keywords:Antiepileptic drugs Male patients with epilepsy Sex hormone
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