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急性脑血管病患者下丘脑—垂体—肾上腺皮质轴与性腺轴功能研究
引用本文:李义召,郭洪志.急性脑血管病患者下丘脑—垂体—肾上腺皮质轴与性腺轴功能研究[J].中国临床神经科学,1996,4(2):88-92.
作者姓名:李义召  郭洪志
作者单位:山东医科大学附属医院 250012 (李义召,郭洪志,迟兆福),山东医科大学附属医院 250012(苑仁毅)
摘    要:急性脑血管病(ACVD)患者的PRL、GH、ACTH、LH、FSH及F水平均显著高于对照组;ACVD并发多器官功能衰竭(MOF)患者,除LH外,余5种激素水平显著高于ACVD各疾病组;随ACVD病程不同,9种激素水平也相应改变,1周时水平最高,2周后逐渐恢复;ACVD并发MOF重型患者(MOF积分>4分)PRL、GH、F水平显著高于轻型患者(MOF积分≤4分)。结果提示PRL、GH和F可能参与ACVD并发MOF的病理生理过程。

关 键 词:急性脑血管病  多器官功能衰竭  神经内分泌

Functional Study of Subthalamic-Pituitary-Adreno-Cortical Axis and Subthalamic Pituitary-Gonado Axis in Patients with Acute Cerebrovascular Disease
LI Yi-Zhao,Guo Hong-Zhi,Chi Zhao-Fu.Functional Study of Subthalamic-Pituitary-Adreno-Cortical Axis and Subthalamic Pituitary-Gonado Axis in Patients with Acute Cerebrovascular Disease[J].Chinese Journal of Clinical Neurosciences,1996,4(2):88-92.
Authors:LI Yi-Zhao  Guo Hong-Zhi  Chi Zhao-Fu
Institution:LI Yi-Zhao,Guo Hong-Zhi,Chi Zhao-Fu Department of Neurology,the Affiliated Hospital of Shandong Medical University,Jinan,250012
Abstract:In 167 patients with acute cerebrovascular diseases (ACVD) by radioimmunoassay the levels of PRL, GH, ACTH, LH, FSH and F were significantly higher than those of the controls, the levels of PRL, GH, ACTH, FSH and F in patient with ACVD companied by MOF were higher than in the patients with acute cerebrovascular diseases, the abnormal parameters tended to recover to a great extent after improvement of clinical symptoms. The levels of PRL, GH and F were higher in severe than in mild patients with ACVD companied by MOF. These results suggested that PRL, GH and F might be involved in the pathophysiological process of ACVD companied by MOF.
Keywords:Acute cerebrovascular disease Multiple organ failure Neuroendocine
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