严重急性呼吸综合征患者血清性激素水平的测定和评价

目的　观察严重急性呼吸综合征 (SARS)患者性腺是否受到损害。方法　采用电化学发光免疫技术检测 6 6例男性SARS患者的血清雌二醇 (E2 )、孕酮 (PROG)、促卵泡激素(FSH)、黄体生成素 (LH)和催乳素 (PRL)水平 ,并与 40名健康对照者进行比较。结果　SARS患者血清E2、PROG含量明显低于对照组 (P <0 0 1) ,FSH、LH和PRL含量明显高于对照组(P <0 0 1)。重型SARS患者血清E2含量显著低于普通型。激素水平恢复要慢于临床症状的改善。结论　SARS患者中性激素含量异常 ,提示性激素水平改变有可能是SARS发病过程中的环节之一 ,SARS病程中性激素水平的恢复可能是一个缓慢的过程。

MEASUREMENT AND EVALUATION OF SERUM SEX HORMONES IN PATIENTS WITH SEVERE ACUTE RESPIRATORY SYNDROME (SARS)

Objective To observe the levels of serum sex hormone in patients with severe acute respiratory syndrome (SARS), in order to determine whether there were involvement of sex glands. Methods The levels of serum E2, PROG, FSH, LH and PRL were measured in 66 patients with severe acute respiratory syndrome (SARS) by electrochemiluminescence, and the results were compared with that of controls. Results The results showed that levels of serum E2, PROG,and FSH in patients with SARS were significantly lower than those of controls. On the other hand, the levels of serum LH and PRL were significantly higher than those of controls. The level of E2 in patients with severe type SARS was significantly lower than that in patients with mild type.The levels of sex hormones returned later than improvement of clinical symptoms. Conclusion The levels of serum sex hormones were lowered in patients with SARS, indicating that the changes in sex hormones might play a role in the disease process of SARS. Recovery of levels of sex hormones was retarded.