血清T_3/T_4在亚急性甲状腺炎与Graves'病鉴别诊断中的价值
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  • 作者:胡茗 ; 钱敏 ; 王一峰 ; 姚蔚 ; 杨燕萍
  • 关键词:Graves'病 ; 亚急性甲状腺炎 ; 甲状腺素 ; 促甲状腺激素 ; 诊断
  • 中文刊名:SXYZ
  • 英文刊名:Shaanxi Medical Journal
  • 机构:上海市金山区山阳镇社区卫生服务中心;上海健康医学院附属周浦医院;
  • 出版日期:2019-06-05
  • 出版单位:陕西医学杂志
  • 年:2019
  • 期:v.48;No.528
  • 基金:上海健康医学院种子基金资助项目(SFP-18-22-17-007)
  • 语种:中文;
  • 页:SXYZ201906035
  • 页数:3
  • CN:06
  • ISSN:61-1104/R
  • 分类号:129-131
摘要
目的:探讨血清T_3/T_4、FT_3/FT_4在亚急性甲状腺炎(SAT)和Graves'病(GD)中的差异,为临床鉴别提供新方法。方法:收集SAT患者110例,GD患者143例,另外选择85例作为正常对照组,采用放射免疫法(RIA)测定方法检测三组T_3、T_4值,比较并分析血清T_3/T_4、FT_3/FT_4在GD、SAT和正常组之间的差异。结果:血清T_3/T_4比较示,SAT组低于对照组(P<0.05);GD组明显高于对照组(P<0.01);GD组明显高于SAT组(P<0.01)。血清FT_3/FT_4组间比较示,SAT组与对照组间比较无统计学差异(P>0.05);GD组明显高于对照组(P<0.01);GD组明显高于SAT组(P<0.01)。血清T_3/T_4<14.7提示SAT,T_3/T_4>18.4提示Graves'病;FT_3/FT_4>0.42提示Graves'病,FT_3/FT_4<0.38提示SAT或者甲状腺功能正常。结论:血清T_3/T_4、FT_3/FT_4在鉴别诊断SAT和GD中具有临床意义,且血清T_3/T_4对GD和SAT的鉴别诊断价值优于FT_3/FT_4。
        
引文
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