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[年龄对接受慢性血液透析治疗的成年患者体外甲状腺功能测试的影响]

[The effect of age on in vitro thyroid function tests in adult patients on a chronic hemodialysis program].

作者信息

Djordjević M Z, Paunković N D, Djordjević-Lalosević V B, Paunković Dz S

出版信息

Srp Arh Celok Lek. 1990 Jul-Aug;118(7-8):291-3.

PMID:2097778
Abstract

The research was designed to investigate in vitro thyroid function tests (TT4, TT3, FT4, FT3, rT3 and TBG) in 14 patients on regular haemodialysis (RHD) and 15 healthy, euthyroid subjects aged 40-59 years and in 17 patients on RHD and 14 subjects aged 60 years and more. Group of older subjects had significantly lower (p less than or equal to 0.01) levels of TT4, TT3 and TBG than group of younger, but those differences were lost between patient groups. Group of older patients had significantly lower level of FT3 than group of younger. Both groups of patients had significantly lower levels of TT3, FT4 and FT3 than both control groups and there was no significant difference in rT3 levels. Age structure markedly influenced difference in TT4 levels and there was also some influence on TBG level. Serum TT4 concentration was significantly lower in both patient groups than in younger subjects group but similar to the level in group of older subjects. The only difference in TBG levels between four groups was significantly lower (p less than or equal to 0.05) TBG level in group of younger patients than in group of younger subjects.

摘要

该研究旨在调查14例接受定期血液透析(RHD)的患者以及15名年龄在40至59岁的健康甲状腺功能正常受试者的体外甲状腺功能测试(总甲状腺素TT4、总三碘甲状腺原氨酸TT3、游离甲状腺素FT4、游离三碘甲状腺原氨酸FT3、反三碘甲状腺原氨酸rT3和甲状腺素结合球蛋白TBG),同时也对17例接受RHD的患者以及14名60岁及以上的受试者进行了调查。老年受试者组的TT4、TT3和TBG水平显著低于(p≤0.01)年轻受试者组,但这些差异在患者组之间消失。老年患者组的FT3水平显著低于年轻患者组。两组患者的TT3、FT4和FT3水平均显著低于两个对照组,且rT3水平无显著差异。年龄结构对TT4水平的差异有显著影响,对TBG水平也有一定影响。两个患者组的血清TT4浓度均显著低于年轻受试者组,但与老年受试者组的水平相似。四组之间TBG水平的唯一差异是年轻患者组的TBG水平显著低于(p≤0.05)年轻受试者组。

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