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对6例正常妇女及60例闭经妇女作黄体生成激素释放激素(LHRH)刺激试验。结果:避孕药、针组中3例显示正常或高亢反应,4例无反应。下丘脑闭经组中,除1例精神性厌食无反应外,其余7例反应正常或高亢。垂体性闭经7例中,3例垂体瘤有反应,余4例无反应。对32例闭经原因不明者进行试验后,发现其中26例反应正常或高亢,提示闭经原因在下丘脑,6例无反应,可能属于垂体性闭经。50μg与100μg剂量的LHRH作刺激试验表明,二种剂量的结果无差异。提示:LHRH刺激试验在明确闭经的分类及选择LHRH脉冲治疗病例时是有价值的。
Luteinizing hormone releasing hormone (LHRH) stimulation test was performed on 6 normal women and 60 menopausal women. Results: 3 cases of contraceptives and acupuncture group showed normal or hyperactive reaction, and 4 cases did not respond. Hypothalamic amenorrhea group, in addition to 1 case of anorexia nervosa without reaction, the remaining 7 cases were normal or hyperactive. Pituitary amenorrhea in 7 cases, 3 cases of pituitary tumor response, more than 4 cases no response. Of 32 cases of unknown men with amenorrhea were tested and found that 26 cases were normal or hyperactive, suggesting that the cause of amenorrhea in the hypothalamus, 6 cases of non-response, may belong to the pituitary amenorrhea. 50μg and 100μg doses of LHRH stimulation test showed no difference between the two doses of the results. Hint: The LHRH stimulation test is valuable in identifying the classification of amenorrhea and selecting LHRH pulse therapy.