Miller A B, Nelson R W, Scott-Moncrieff J C, Neal L, Bottoms G D
Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis 95616.
Br Vet J. 1992 Sep-Oct;148(5):451-8. doi: 10.1016/0007-1935(92)90032-V.
Serum thyroxine (T4) and 3,5,3'-triiodothyronine (T3) concentrations were determined every 3 h for 12 h beginning at 8 a.m. in 20 healthy euthyroid dogs, 19 dogs with hypothyroidism, and 18 euthyroid dogs with atopic dermatitis. Status of thyroid function was based on history, physical findings, results of thyrotropin response testing, and requirement for thyroid hormone replacement therapy. Mean serum T4 and T3 concentrations did not vary significantly between blood samplings within each of the three groups of dogs. Between groups of dogs, mean serum T4 concentration was significantly (P less than 0.05) higher at each blood sampling time in healthy euthyroid dogs and euthyroid dogs with atopic dermatitis when compared to dogs with hypothyroidism. There was no significant difference in mean serum T4 concentration at any blood sampling time between healthy euthyroid dogs and euthyroid dogs with atopic dermatitis or in mean serum T3 concentrations at any blood sampling time between any of the three groups of dogs. Random fluctuation in serum T4 and T3 concentrations was found in dogs in all three groups. Random fluctuations were more common with serum T3 versus T4 concentrations. Consequently, sensitivity (0.88 versus 0.52), specificity (0.73 versus 0.45), predictive value for a positive test (0.75 versus 0.32), predictive value for a negative test (0.87 versus 0.65), and accuracy (0.80 versus 0.47) were better for serum T4 concentration than serum T3 concentration, respectively, when all blood samples were analysed. Measurement of serum T4 concentration was more accurate than serum T3 concentration in assessing the status of thyroid gland function.
在上午8点开始的12小时内,每3小时对20只健康甲状腺功能正常的犬、19只甲状腺功能减退的犬和18只患有特应性皮炎的甲状腺功能正常的犬测定血清甲状腺素(T4)和3,5,3'-三碘甲状腺原氨酸(T3)浓度。甲状腺功能状态基于病史、体格检查结果、促甲状腺激素反应试验结果以及甲状腺激素替代治疗的需求。三组犬中每组内各次采血之间的平均血清T4和T3浓度无显著差异。与甲状腺功能减退的犬相比,健康甲状腺功能正常的犬和患有特应性皮炎的甲状腺功能正常的犬在每次采血时的平均血清T4浓度均显著更高(P<0.05)。健康甲状腺功能正常的犬和患有特应性皮炎的甲状腺功能正常的犬在任何采血时间的平均血清T4浓度之间或三组犬中任何一组在任何采血时间的平均血清T3浓度之间均无显著差异。在所有三组犬中均发现血清T4和T3浓度存在随机波动。血清T3浓度的随机波动比T4浓度更常见。因此,在分析所有血样时,血清T4浓度的敏感性(分别为0.88对0.52)、特异性(分别为0.73对0.45)、阳性试验预测值(分别为0.75对0.32)、阴性试验预测值(分别为0.87对0.65)和准确性(分别为0.80对0.47)均优于血清T3浓度。在评估甲状腺功能状态时,血清T4浓度的测量比血清T3浓度更准确。