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中国初级卫生保健:2018,32(4):110-111
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血清三碘甲状腺素、甲状腺素和促甲状腺素检验在甲状腺疾病中的临床价值
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中文摘要: 目的 对甲状腺疾病患者进行血清三碘甲状腺素(T3)、甲状腺素(T4)和促甲状腺素(TSH)检验,以分析其在疾病诊断中的临床价值。方法 选取2015年1月—2017年1月邳州市人民医院收治的甲状腺疾病患者80例,根据疾病类型不同将其分为甲亢组(n=50)与甲减组(n=30),另选取医院同期收治的健康体检的正常人50例,将其作为对照组。采用酶免疫荧光法对所有患者的血清T3、T4及TSH水平进行检测,分析其在甲状腺疾病诊断中的临床价值。结果 与对照组比较,甲亢组患者的T3、T4水平均明显提高,TSH水平明显降低,差异具有统计学意义(P<0.05);与对照组比较,甲减组患者的T3水平明显降低,T4及TSH水平明显提高,差异具有统计学意义(P<0.05);与甲减组组比较,甲亢组患者T3、T4水平明显提高,TSH水平明显降低,差异具有统计学意义(P<0.05)。结论 甲状腺疾病患者能够通过血清T3、T4和TSH各指标对甲状腺功能进行评价,是一种较为理想且准确的方法,通过上述指标的检测能够对甲状腺疾病的诊断鉴别起到非常重要的作用,具有很高的临床应用价值。
Abstract:OBJECTIVE To investigate the clinical value of serum triiodothyroxine (T3), thyroxine (T4) and thyrotropin (TSH) in patients with thyroid disease. METHODS Eighty patients with thyroid disease admitted from January 2015 to January 2017 were divided into hyperthyroid group (n = 50) and hypothyroidism group (n = 30) according to different types of disease. Fifty patients with normal physical examination were treated as control group. Serum T3, T4 and TSH levels were measured by enzyme immunofluorescence in all patients, and the clinical value of thyroid disease was analyzed. RESULTS Compared with the control group, the levels of T3 and T4 in the patients with hyperthyroidism were significantly increased and the TSH levels were significantly decreased (P<0.05). Compared with the control group, the T3 level of the patients in the hypothyroid group was significantly lower than that in the control group (P <0.05). Compared with the hypothyroidism group, the levels of T4 and TSH were significantly higher than those of the hypothyroid group (P<0.05), and the difference was statistically significant (P<0.05) The Conclusion: The thyroid function of patients with thyroid disease can be reflected by the levels of serum T3, T4 and TSH. The above indicators can evaluate thyroid function, which is ideal And accurate method, through the detection of the above indicators can diagnose thyroid disease diagnosis plays a very important role, has a high clinical value.
文章编号:3201804041     中图分类号:R581    文献标志码:
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周会生①  
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