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

作　　者：张双国[1] 柳亚深 吴旭[1] 吴小翠[1] 喻文莉[1] 

机构地区：[1]湖北医科大学附一院神经科

出　　处：《卒中与神经疾病》1995年第4期200-202,共3页Stroke and Nervous Diseases

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。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 

分 类 号：R743.3[医药卫生—神经病学与精神病学]