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急性脑血管病皮质醇、VMA及胰岛素的变化及其临床意义的探讨

The Change of Cortisol/VMA and Insulin in Patients With Acute Cerebrovascular Disease and its significance

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【作者】 张双国柳亚深吴旭吴小翠喻文莉

【Author】 Zhang Shuangguo; Liu Yashen; Wu Xiou ; et al(Department of Neurology.The First Affiliated Hospital,Hubel Medical University , WuHan , 430060)

【机构】 湖北医科大学附一院神经科

【摘要】 本文对57例ACVD进行了血浆皮质醇、INS及24小时尿VMA检测,结果发现,ACVD患者皮质醇、VMA及INS水平均升高,脑出血皮质醇、INS水平升高尤为明显。皮质醇水平与病情程度及预后有密切关系,作者提出ACVD内分泌功能紊乱,下丘脑-垂体-肾上腺皮质及交感神经-肾上腺髓质功能活跃,ACVD存在高INS血症。皮质醇的变化可作为判定病情程度及预后的重要参考指标。

【Abstract】 Plasma Cortisol insulin and 24 hour urine VMA of 57 cases with acute cerebrovascular disease were measured.The results showed that Cortisol/VMA and Insulin with ACVD were in creased obviously, especially in patients with cerebral hiemorrhage except VMA,The change of Cortisol was closely related to the status of patients.The authers considered that both activity of hypotha lamus-pituitary-adrenocortico system and sympzthetic nerve-adrenomedullal system is increased and there was a hyperinsulinemia in ACVD. The authers suggested that Cortisol may be used as an important parameter for clinical and prognostic evalution.

【关键词】 急性脑血管病皮质醇VMA高INS血症
【Key words】 AcuteCerebrovasculardiseaseCortisolVMAHyperinsulinemia
  • 【文献出处】 卒中与神经疾病 ,SRTOKE AND NERVOUS DISEASES , 编辑部邮箱 ,1995年04期
  • 【分类号】R743.3
  • 【下载频次】28
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