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甲亢患者血浆心钠素变化及其机制的探讨

CHANGE OF PLASMA ATRIAL NATRIURETIC PEPTIDE LEVELS AND ITS PATHAGENESIS IN HYPERTHYROIDISM

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【作者】 夏宁林碧霞冼苏赵灼英黄瑞衡

【Author】 Xia Ning;Lin Bixia;Xian Su, et al Dept, of Endocrinology The Affiliated, Guangxi Medical College

【机构】 广西医学院附属医院内分泌科广西医学院附属医院内分泌科

【摘要】 用放射免疫法测定49例甲亢患者及30例正常对照组血浆心钠素浓度,发现甲亢患者血浆心钠素浓度明显高于正常对照组(P<0.01),且血浆心钠素浓度与T3、T4、γT3、心率呈正相关,与脉压差无相关。将甲亢患者分为他巴唑及利血平治疗组,结果提示他巴唑治疗组治疗后随着T3、T4、γT3等甲状腺激素水平的下降,心率、心钠素水平也较治疗前显著下降(P<0.01)。利血平组治疗后在心率下降的同时,T3、T4、γT3水平较前轻度增高,血浆心钠素浓度治疗前后变化不大(P>0.05)。

【Abstract】 Plasma concentrations of atrial natriuretic peptide (ANP) were measured in 49 hyperthy-roidism patients and 30 normal controls by radioimmune-assay. The plasma concentrations of ANP in thehyperthyroidism patients were significantly higher than those of the normal controls. Also, the plasmaANP concentrations were positively correlated with T3、T4、γT3 and the heart rate, but not correlated with the pluse pressure. The patients were then divided into two groups randomly, and were given tapazol and reserpine respectively. In the tapazole--group the levels of T3、T4、γT3、heart rate and ANP decreased re-markably ( P<0. 01). In the reserpine group T3、T4、γT3 increased, but the heart rate decreased, while the ANP concentrations did not change significantly (P>0. 05).

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