Li Chen-yang, Guan Hai-xia, Teng Wei-ping, Shan Zhong-yan, Jin Ying, Teng Xiao-chun, Hu Feng-nan, Yang Fan, Gao Tian-shu, Chen Wei, Shi Xiao-guang, Man Na, Tong Ya-jie, Guo Xiu-juan, Wang Zhan-yi, Yang Shi-ming, He Li
Department of Endocrinology, The First Affiliated Hospital, China Medical University, Shenyang 110001, China.
Zhonghua Nei Ke Za Zhi. 2003 May;42(5):316-9.
To investigate the effects of several factors affecting serum thyroglobulin (TG) levels among people aged 14 or more.
We selected Panshan with median urinary iodine (MUI) 83.45 micro g/L as a deficient iodine intake community, Zhangwu with MUI 242.85 micro g/L as a sufficient iodine intake community and Huanghua with MUI 650.87 micro g/L as an excessive iodine intake community. Serum TG and thyroid stimulating hormone (TSH) were measured in 3,335 subjects whose thyroglobulin antibody (TGAb) were negative and thyroid volume were examined using B-ultrasound.
In the population with MUI of 80 - 650 micro g/L, serum TG levels presented a "V" curve. An elevated serum TG was found in both the communities with deficient iodine intake and excessive iodine intake. The same trend was shown in the groups with different levels of serum TSH. An elevated serum TG was found in both the groups of TSH < 0.3 mU/L and TSH > 4.8 mU/L. The serum TG levels was positively correlated with thyroid volume and was higher in female subjects than in male. An increased serum TG was found in subjects of aged 50 in the community with deficient iodine intake.
Serum TG level is affected by gender, amount of iodine intake, serum TSH level and thyroid volume.
探讨影响14岁及以上人群血清甲状腺球蛋白(TG)水平的多种因素。
我们选取尿碘中位数(MUI)为83.45μg/L的盘山作为碘摄入不足社区,MUI为242.85μg/L的彰武作为碘摄入充足社区,MUI为650.87μg/L的黄骅作为碘摄入过量社区。对3335名甲状腺球蛋白抗体(TGAb)阴性且使用B超检查甲状腺体积的受试者进行血清TG和促甲状腺激素(TSH)检测。
在MUI为80 - 650μg/L的人群中,血清TG水平呈“V”形曲线。碘摄入不足社区和碘摄入过量社区均发现血清TG升高。不同TSH水平组也呈现相同趋势。TSH < 0.3 mU/L组和TSH > 4.8 mU/L组均发现血清TG升高。血清TG水平与甲状腺体积呈正相关,女性受试者高于男性。碘摄入不足社区中50岁受试者血清TG升高。
血清TG水平受性别、碘摄入量、血清TSH水平和甲状腺体积影响。