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血清三碘甲状腺素和甲状腺素及促甲状腺素检验在甲状腺疾病诊断中的价值研究 被引量:2

Study on the value of serum triiodothyroxine,thyroxine and thyrotropin in thyroid diseases
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摘要 目的:探讨血清三碘甲状腺素(T3)、甲状腺素(T4)和促甲状腺素(TSH)检验应用于甲状腺疾病诊断的临床效果。方法:选择2017年1月—2018年12月收治的甲状腺疾病患者80例,根据疾病类型分为甲状腺功能亢进症组(甲亢组)和甲状腺功能减退症组(甲减组),每组40例。另选择2017年1月—2018年12月健康体检者40例为对照组。所有研究对象均采集血液标本进行血清T3、T4和TSH水平检测,比较三组各指标检测结果。结果:甲亢组的血清T3、T4水平均显著高于甲减组和对照组,甲亢组的TSH水平低于甲减组和对照组,差异均有统计学意义(P<0.05)。甲减组的T 3水平低于对照组,T4和TSH水平均显著高于对照组,差异均有统计学差异(P<0.05)。结论:血清T3、T4和TSH等甲状腺功能指标检测可有效提高临床对甲状腺疾病的诊断效率,为临床疾病诊治提供依据。 Objective:To analyze the clinical effect of serum triiodothyroxine(T3),thyroxine(T4)and thyrotropin(TSH)in the diagnosis of thyroid diseases.Methods:in our hospital between January 2017 and December 2018,admitted during the period of patients with thyroid diseases from 80 cases,divided into two groups depending on the type of the disease,hyperthyroidism and JiaJian group 40 cases,the other selected 40 cases between January 2017 and December 2018,our hospital physical examination as a control,all subjects were collected blood samples is used to detect the serum T3,T4 and TSH level,compare three sets of each index test results.Results:Serum T3 and T4 levels of patients in the hyperthyroidism group were significantly higher than those in the hypothyroidism group and the control group,and TSH levels in the hyperthyroidism group were lower than those in the hypothyroidism group and the control group,with statistically significant differences(P<0.05).The T3 level in the hypothyroidism group was lower than that in the control group,and the T4 and TSH levels were significantly higher than those in the control group,with statistical differences(P<0.05).Conclusion:Serum T3,T4,TSH and other thyroid function indicators can effectively improve the clinical diagnosis efficiency of thyroid diseases,can provide an important basis for the diagnosis and treatment of clinical diseases.
作者 李岚 LI Lan(Shanghai hospital of traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese medicine,Shanghai 200071,China)
出处 《临床医药实践》 2019年第12期900-902,共3页 Proceeding of Clinical Medicine
关键词 甲状腺素 甲状腺疾病 促甲状腺素 三碘甲状腺素 诊断结果 thyroid hormone thyroid disease thyrotropin triiodothyroxine the diagnosis
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