Circadian rhythms of cortisol during alcohol withdrawal.

D Risher-Flowers, B Adinoff, B Ravitz, G H Bone, P R Martin, D Nutt, M Linnoila
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引用次数: 49

Abstract

The authors have investigated the function of the hypothalamic-pituitary-adrenocortical (HPA) axis during and after withdrawal from alcohol. 24 hour rhythms of cortisol were abnormal in that elevated levels were seen throughout the day in patients with moderate to severe, but not mild, withdrawal. This abnormality of circadian secretion of cortisol, which is similar to that seen in Cushing's syndrome and post-operative trauma, returned to normal after a period of one week of abstinence on their in-patient ward. Such excessive secretion of cortisol may explain some of the complications of chronic alcoholism.

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酒精戒断期间皮质醇的昼夜节律。
作者研究了下丘脑-垂体-肾上腺皮质(HPA)轴在戒酒期间和戒酒后的功能。皮质醇的24小时节律是异常的,在中度至重度戒断的患者中,全天都可以看到皮质醇水平升高,而不是轻度戒断。这种皮质醇的昼夜节律分泌异常,与库欣综合征和术后创伤相似,在他们的住院病房禁欲一周后恢复正常。这种皮质醇的过量分泌可以解释慢性酒精中毒的一些并发症。
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