拔牙对血浆CT水平的影响。CT对拔牙后愈合过程中血浆钙磷水平的影响[j]。

Odontostomatologike proodos Pub Date : 1988-10-01
G Massoulas, C Megreli, F Fragiscos
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引用次数: 0

摘要

细胞外液中钙离子(Ca2+)的恒定浓度可通过两种机制维持;局部的和荷尔蒙的。在局部的情况下,潜在的Ca2+平衡是在细胞外空间和骨骼之间实现的,另一方面,它可能达到7毫克/100毫升的浓度。Ca2+水平完全沉降到9-11毫克/100毫升血浆的正常限度,是通过激素机制的作用来实现的。这是一种负向的相互控制。激素机制主要包括两种激素的作用,甲状旁腺激素(PTH)和降钙素(CT)。第一种是在血浆中Ca2+水平降低时分泌的,由于骨骼吸收增加和肠道Ca2+吸收增加,导致肾小管对Ca2+的重吸收增加,Ca2+释放增加。通过这种方式,血浆中钙离子的正常水平被重新定位。另一方面,在血浆中Ca2+水平增加的情况下,PTH的排泄受到抑制,而CT分泌,这有利于Ca2+在骨骼上的沉积,同时限制了它们的吸收。在一些情况下,当由于激素机制的故障而导致Ca2+平衡的任何变化存在有机无法重新调整时,正在使用各种药物来治疗该疾病。以这种方式实现的平衡可能会被几个因素所破坏,如骨折,正如实验所观察到的那样,并可能导致血浆中Ca2+浓度的增加。在本实验研究中,研究了简单手术摘除后CT分泌成比例增加的可能性。也研究了在一定时间间隔内给予CT后血浆中钙和钾水平改变的可能性。结果表明,提取不改变血浆中CT水平。另一方面,Ca2+和P水平不受外部CT供应的影响,其原因在本文中正在讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Influence of tooth extraction on the CT level in plasma. Influence on the plasma Ca-P levels during the postextraction healing after CT administration].

The constant concentration of calcium ions (Ca2+) in the extracellular fluids can be maintained by two mechanisms; the local and the hormonal one. In the case of the local, a potential Ca2+ balance is achieved between the extracellular space on the one hand and the bones and intertine on the other hand, which may come to concentrations of 7 mg/100 ml. The complete settlement of the Ca2+ level up to the normal limits of 9-11 mg/100 ml of plasma, is achieved by the action of the hormonal mechanism. This acts through a negative ruccessive muctual control. The hormonal mechanism includes the action of basically two hormones, the parathormone (PTH) and the calcitonine (CT). The first one is secreted when the Ca2+ level in plasma decreases, causing the increase of the renal tubular reabsorption of Ca2+, the release of Ca2+, due to the increased absorption in bones and the increased intestinal Ca2+ absorption. By that way the Ca2+ normal level in plasma is resettled. On the other hand, in case of an increase of the Ca2+ level in plasma, the excretion of PTH is restrained whereas CT is secreted, which favours the deposition of Ca2+ on bones restricting their absorption at the same time. In several cases, when there is an organic inability of resettling any change of the Ca2+ balance due to the malfunction of the hormonal mechanism, various drugs are being given for treating the disease. The balance, being achieved this way, may be overtured by several factors such as bone fractures as it has been observed experimentally, and may cause the increase of the Ca2+ concentration in plasma. In the present experimental study, the possibility of a proportional increase in the secretion of the CT after a simple and surgical extraction has been investigated. The possibility of an alteration of the Calcium and Posphate levels in plasma after the supply of CT during certain intervals has also been investigated. The results showed that the extraction does not change the CT levels in plasma. On the other hand the Ca2+ and P levels, are not affected by the external supply of CT, for reasons which are being discussed in the present paper.

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