摘要
目的探讨FT3、FT4、TSH与T3、T4联检评价甲状腺功能的临床意义。方法 2009年3月～2012年2月接诊的40例甲状腺功能亢进患者组成甲亢组,40例甲状腺功能减退患者组成甲减组,采用放射免疫分析法检测其各指标水平,与同期40名健康者组成的对照组相对比。结果甲亢组和甲减组的各指标均与对照组存在差异。甲减组FT4和甲亢组FT3的符合率分别为96.5%和98.4%,而TSH水平变化在两组中的符合率均为100%。结论 FT3、FT4、TSH与T3、T4联检是一种较为准确的评价甲状腺功能的方法,而在五项检查中促甲状腺激素水平具有最高的敏感性,游离甲状腺激素次之,甲状腺激素敏感性最差。
Objective To investigate the clinical significance of combined detection of FT3, FT4, TSH and T3, T4 in evaluation of thyroid function. Methods Forty cases of patients with hyperthyroidism treated from March 2009 to February 2012 formed the hyperthyroidism group, 40 cases of patients with hypothyroidism formed the hypothyroidism group. Each index was detected by using radioimmunoassay, and compared with control group formed with concurrent 40 healthy subjects. Results All the indexes in hyperthyroidism group and hypothyroidism group had difference with control group. The coincidence rate of FT4 in hypothyroidism group and FT3 in hyperthyroidism group respectively was 96.5% and 98.4%. And the coincidence rate of the change of TSH level in two groups was 100%. Conclusion Combined detection of FT3, FT4, TSH and T3, T4 is a relatively accurate method in evaluation of thyroid function. While in the five checks, TSH level has the highest sensitivity, FT4 takes second place, thyroid hormone is the worst.
出处
《中国当代医药》
2013年第13期98-99,共2页
China Modern Medicine
关键词
甲功五项
甲状腺功能
临床意义
检测
Five checks of thyroid function
Thyroid function
Clinical significance
Detection
