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[甲状腺毒症时促甲状腺激素的血浆水平]

[Thyrotropic hormone plasma level in thyrotoxicosis].

作者信息

Lozanov B, Visheva N

出版信息

Vutr Boles. 1976;15(5):30-3.

PMID:1014608
Abstract

Immunoreactive TTH plasma concentration was investigated twice a day (at 9 a.m. and 9 p.m.) in 30 patients with thyrotoxicosis, 10 out of them in acute stage and 20 in a state of remission after thymidazol treatment as well as in 17 healthy subjects. The authors established that in the acute state of thyrotoxicosis the latter is reduced to low normal or subnormal values (an average of 2.94 +/- 0.70 ng/ml) and after thyrostatic therapy leading to remission--is about the average norm (4.65 +/- 1.10 ng/ml) and does not differ much from that in healthy subjects (4.75 +/- 0.92 ng/ml). The negative correlation between the TIH levels and thyroid hormones (BOI, total thyroxin), typical for the healthy subjects, is found in the patients with acute thyrotoxicosis. No significant difference was established between the TTH values of the morning and evening hours in any of the groups. The physiological regulatory feedback mechanism in thyrotoxicosis is assumed not to be disturbed.

摘要

对30例甲状腺毒症患者(其中10例处于急性期,20例在接受甲巯咪唑治疗后处于缓解期)以及17名健康受试者,每天两次(上午9点和晚上9点)检测免疫反应性促甲状腺素(TTH)血浆浓度。作者发现,在甲状腺毒症急性期,TTH降至低正常或低于正常水平(平均为2.94±0.70 ng/ml),而在接受抗甲状腺药物治疗后进入缓解期时,TTH约为平均正常水平(4.65±1.10 ng/ml),与健康受试者(4.75±0.92 ng/ml)差异不大。在急性甲状腺毒症患者中发现了与健康受试者典型的促甲状腺素抑制激素(TIH)水平与甲状腺激素(基础代谢率、总甲状腺素)之间的负相关。在任何一组中,上午和晚上的TTH值均未发现显著差异。推测甲状腺毒症的生理调节反馈机制未受干扰。

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