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急性脑出血患者血浆皮质醇含量变化的临床意义 被引量:2

Clinical Significance of the Changes of Plasma Cortisol Levels in Patients with Acute Cerebral Hemorrhage
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摘要 目的:探讨皮质醇在急性脑出血疾病中的变化。方法:采用放射免疫分析,对68例急性脑出血患者和40例正常人的血浆中皮质醇含量进行测定。结果:患者血浆中皮质醇含量较对照组明显增高(P<0.001)。皮质醇昼夜分泌规律出现明显紊乱,且上述变化与病情的严重程度呈正相关。随着病情改善,血浆皮质醇亦逐渐恢复。结论:急性脑出血患者血浆皮质醇的含量与疾病的严重程度和预后有着密切的关系。 Objective To explore the changes of plasma cortisol levels in patients with acute cerebral hemorrhage. Methods Plasma cortisol levels were measured with RIA at 24 : 00 and 8 : 00 right after admission in 68 patients with acute cerebral hemorrhage and the tests were repeated in 61 patients one week later 40 controls entered this study. Results The plasma cortisol levels were significantly higher in the patients than the corresponding readings in controls (P 〈0.001 ) with obliteration of the normal diurnal rhythm of secretion. The increase of the cortisol levels was positively correlated with the severity of the disease. As the condition of the patients improved, the cortisol levels dropped gradually. Conclusion The plasma cortisol levels in patients with acute cerebral hemorrhage were closely related to the severity of the disease and were of prognostic value.
作者 吴志强
出处 《放射免疫学杂志》 CAS 2005年第6期439-440,共2页 Journal of Radioimmanology
关键词 脑出血 急性期 皮质醇 血浆 含量 cerebral hemorrhage, acute stage, cortisol, plasma
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  • 1赵继宗,周定标,周良辅,王任直,王德江,王硕,袁葛,康帅,赵元立,季楠,叶迅.2464例高血压脑出血外科治疗多中心单盲研究[J].中华医学杂志,2005,85(32):2238-2242. 被引量:476
  • 2吕云利,付学锋,姚向荣,赵波,陈苓.急性脑出血患者24h不同时点血浆促肾上腺皮质激素和皮质醇变化的临床意义[J].中国现代医学杂志,2006,16(17):2674-2676. 被引量:10
  • 3王志刚,冀勇,丁璇.动脉瘤性蛛网膜下腔出血患者血清垂体激素含量变化的动态研究[J].山东大学学报(医学版),2006,44(12):1241-1244. 被引量:5
  • 4Walker ML, Owen PS, Sampson C, et al. Incidence and outcomes of critical illness - related corticostemid insufficiency in trauma patients [J]. Am Surg, 2011, 77 (5): 579-585. 被引量:1
  • 5Peng YS, Wu CS, Chen YC, et al. Critical illness -related corticoste- mid insufficiency in patients with severe acute biliary pancreatitis : a pro- spective cohort study [J]. Crit Care, 2009, 13 (4) : R123. 被引量:1
  • 6Cooper MS, Stewart PM. Adrenal insufficiency in critical illness [J]. J Intensive Care Med, 2007, 22 (6) : 348 - 362. 被引量:1
  • 7Bondanelli M, Ambrosio MR, Zatelli MC, et al. Hypopituitarlsm after traumatic brain injury [J]. Eur J Endocrinol, 2005, 152 (5) : 679 - 691. 被引量:1
  • 8Kronvall E, Valdemarsson S, Saveland H, et al. Pituitary dysfunction after aneurysmal subarachnoid hemorrhage is associated with impaired early outcome [ J ]. World Neurosurg, 2014, 81 ( 3/4 ) : 529 - 537. 被引量:1
  • 9Gasco V, Prodam F, Pagano L, et al. Hypopituitarism following brain injury: when does it occur and how best to test? [J]. Pituitary, 2012, 15 (1): 20-24. 被引量:1
  • 10Chen X, Zhao Z, Chai Y, et a].The incidence of critical-ill- ness-related-corticosteroid insufficiency is associated withseverity of traumatic brain injury in adult rats[J]. J NeurolSci, 2014,342(1-2):93-100. 被引量:1

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