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[格雷夫斯病甲状腺功能亢进治疗期间的甲状腺激素动态变化]

[Thyroid hormone dynamics during the thyrostatic treatment of Basedow's disease].

作者信息

Vŭrbanov V, Zakharieva B, Manolov D, Zhelev N

出版信息

Vutr Boles. 1990;29(1):68-73.

PMID:1697716
Abstract

The efficacy of the generally accepted therapeutic scheme was studied in 52 newly discovered and untreated patients with Basedow's disease with the purpose to clarify the frequent failures of the thyrostatic treatment. The thyroid hormones levels were determined in dynamics initially and in the course of the disease. The results show that the efficacy of the thyrostatic drugs is individually different and depends on the supersensitivity of the thyroid gland. The remission occurred on the average on the 50th day--considerably earlier than the usually expected time limit. In order to study the expedience of the therapeutic scheme applied, the active dose required by the scheme was continued. As a result in the 4 month after the beginning of the treatment the thyrotropic hormone increased to a mean level of 35.7 mU/l--hypothyroid value. A monthly control of the thyroid hormones levels during the course of the active treatment is necessary and a reduction of the doses of the thyrostatic drugs when a remission is achieved must be performed.

摘要

对52例新发现的未经治疗的突眼性甲状腺肿患者的公认治疗方案的疗效进行了研究,目的是阐明甲状腺抑制治疗频繁失败的原因。最初及在疾病过程中动态测定甲状腺激素水平。结果表明,甲状腺抑制药物的疗效因人而异,取决于甲状腺的超敏反应。平均在第50天出现缓解,比通常预期的时间限制要早得多。为了研究所用治疗方案的合理性,继续使用该方案所需的有效剂量。结果,治疗开始后4个月,促甲状腺激素升至平均35.7 mU/l的水平,这是甲状腺功能减退的值。在积极治疗过程中,每月控制甲状腺激素水平是必要的,并且在实现缓解时必须减少甲状腺抑制药物的剂量。

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