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进食障碍患者血DST及尿MHPG.SO_4排出量的测定

ABSTRACTS OF MAJOR ORIGINAL PAPERS Dexamethasone suppression test and urinary MHPG。 SO4 determination in eating disorders

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【作者】 张大荣沈渔村周东丰张鸿燕刘靖阮燕

【Author】 Zhang Darong et al,Institute of Mental Health,Beijing Medical University, Beijing

【机构】 北京医科大学精神卫生研究所

【摘要】 对34例进食障碍(ED)患者及21名健康人进行血DST及尿MHPG.SO4排出量的测定。结果表明ED患者血DsT阳性率明显高于对照组。两组间尿MHPG.SO4的排出量未见明显差异。本文结果未发现ED患者HPA轴脱抑制率与抑郁症状有关,但在抗抑郁治疗后,ED患者的DST阳性率下降,临床症状得到缓解。本研究结果表明,ED患者的HPA轴功能异常极突出,并提示这种异常可能与异常的进食态度及行为关系密切。

【Abstract】 Dexamethasone suppresson test(DST) was performed and urinary MHPG. SO4 wasdetermined in 34 eating disorder(ED)patients without endogenous depression and 21 healthy volun-teers.The rate of escaping from DST in ED patients was significantly higher than that in controls.Though abnormal rate of DST in ED patients decreased after antidepressant therapy,no correlationwas found between abnormal rate of DST and severity of depressive symptoms.The results of presentstudy confirmed the dysfunction of hypothalomus-pituitary-adrenal axis in ED patients ,indicating thatthis may contributed to the abnormal eating attitude and behavior pattern in ED patients.

【关键词】 神经性厌食神经性贪食地塞米松抑制试验MHPG.SO4
【Key words】 Eating disordersanorexiabulimiaDSTHPA
  • 【文献出处】 中国心理卫生杂志 ,CHINESE MENTAL HEALTH JOURNAL , 编辑部邮箱 ,1994年03期
  • 【分类号】R395.2
  • 【被引频次】4
  • 【下载频次】95
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