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颅脑损伤后血清垂体前叶激素的变化 被引量:2

The changes in blood pituitary hormones in the patients with craniocerebral trauma
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摘要 目的探讨颅脑损伤对内分泌功能的影响。方法应用磁性酶联免疫定量分析法,对颅脑损伤后血清催乳素(PRL)、促卵泡生成素(FSH)、促黄体生成素(LH)、促甲状腺素(TSH)做定量分析。结果(1)与正常人(88例)相比,颅脑损伤后(134例)血清PRL和FSH显著增高,P<0.0001。LH和TSH未见显著变化。(2)伤后24、48、72小时动态观察(32例),发现伤后24小时内PRL、FSH和LH有显著增高,48和72小时显著下降,P<0.01~0.001。TSH未见显著性变化。结论颅脑损伤后对垂体前叶激素分泌有影响,主要是PRL显著增高。 Objective To investigate the influence of crantocerebral trauma on the blood pituitary hormones. Methods By using enzyme immunoassay (magnetic solid phase) technique, the levels of prolactin (PRL), follicle stimulating hormone (FSH), luteninizing hormone (LH), and thyroid stimulating hormone (TSH) were determined. Results The levels of PRL and FSH were significantly raised in the patients with craniocerebral trauma (134 eases) as compared with in normal controls (88 cases, P<0. 01). No obvious change was found in LH and TSH levels. Twenty-four h after the trauma (32 cases), the levels of PRL, FSH, and LH were much higher than those in 48 h and 72 h after the trauma (P<0. 01~0. 001). No significant change was found in TSH. Conclusion Craniocerebral trauma could influence the ptuitary function, mainly presenting the increase of PRL level.
出处 《中华实验外科杂志》 CAS CSCD 北大核心 1998年第6期526-527,共2页 Chinese Journal of Experimental Surgery
关键词 颅脑损伤 垂体前叶激素 磁性酶联免疫 Craniocerebral trauma Pituitary Hormone ELISA (magnetic solid phase)
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参考文献3

  • 1丁雁,中华实验外科杂志,1998年,15卷,128页
  • 2丁雁,中国药理学通报,1996年,12期,477页
  • 3周金黄,胸腺激素(胸腺因子D)的免疫调节作用与临床应用.中药免疫药理学,1994年,206页

同被引文献22

  • 1于新.脑损伤和脑水肿的氧自由基作用和超氧化物歧化酶的治疗作用[J].国外医学(神经病学.神经外科学分册),1994,21(3):128-131. 被引量:51
  • 2江普查,袁先厚.脑缺血及再灌流时脑组织自由基水平的研究[J].中华实验外科杂志,1994,11(3):176-177. 被引量:13
  • 3孙为群,栾立明,滕良珠,庞琦,王国栋,韩韬,丁峰.垂体前叶黄体生成素对重度颅脑创伤病情及预后的监测与评估[J].中华神经外科杂志,2006,22(4):230-232. 被引量:9
  • 4Deuschman CS. Physiology and metabolism in closed head injury. World J Surg, 1987,11 : 182-193.
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  • 6Powner D J, Boccalandro C, Alp MS, et al. Endocrine failure after traumatic brain injury in adults. Neurocrit Care,2006,5:61-70.
  • 7Klose MC, Juul A, Poulsgaard L, et al. Pituitary insufficiency following head trauma. Ugeskr Laeger,2007,169:211-213.
  • 8Tanriverdi F, Senyurek H, Unluhizarci K, et al. High risk of hypo- pituitarism after traumatic brain injury : a prospective investigation of anterior pituitary function in the acute phase and 12 months after trauma. J Clin Endocrinol Metab,2006,91:2105-2111.
  • 9Klose M, Juut A, Poulsgaard L, et al. Prevalence and predictive factors of post- traumatic hypopituitarism. Clin Endocrinol (Oxf) ,2007,67 : 193-201.
  • 10Kelly DF, McArthur DL, Levin H,et al. Neurobehavioral and quality of life changes associated with growth hormone insufficiency after complicated mild, moderate, or severe traumatic brain injury. J Neurotrauma,2006,23:928-942.

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