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用左旋甲状腺素治疗的甲状腺功能正常犬的甲状腺功能测试。

Thyroid function tests in euthyroid dogs treated with L-thyroxine.

作者信息

Panciera D L, MacEwen E G, Atkins C E, Bosu W T, Refsal K R, Nachreiner R F

机构信息

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison 53706.

出版信息

Am J Vet Res. 1990 Jan;51(1):22-6.

PMID:2105680
Abstract

The effects of treatment with L-thyroxine (1 mg/m2 of body surface/d, PO, for 8 weeks) on the thyroxine (T4) and triiodothyronine (T3) responses to thyrotropin (TSH) and thyrotropin-releasing hormone (TRH) administration were determined in 10 euthyroid Beagles; 4 other dogs acted as controls. The TSH response test was performed before treatment and at weeks 2, 4, and 8 of treatment in all dogs and at 2 and 4 weeks after cessation of treatment in 6 dogs. The TRH response test was performed before treatment and at week 6 of treatment in all dogs and at 5 weeks after cessation of treatment in 6 dogs. Suppression of the T3 response to TSH was evident at treatment week 2, whereas the T4 response was suppressed at week 4 and remained suppressed for the duration of the study. Four weeks after stopping treatment, T4 and T3 responses to TSH in 2 dogs were within the hypothyroid range. The T4 response to TRH was completely suppressed after 6 weeks of thyroxine treatment, but returned to pretreatment values by 5 weeks after cessation of treatment. Suppression of thyroid and pituitary function is evident after administration of a replacement dose of L-thyroxine to euthyroid dogs.

摘要

在10只甲状腺功能正常的比格犬中,测定了左甲状腺素治疗(1mg/m²体表面积/天,口服,共8周)对甲状腺素(T4)和三碘甲状腺原氨酸(T3)对促甲状腺激素(TSH)及促甲状腺激素释放激素(TRH)给药反应的影响;另外4只犬作为对照。所有犬在治疗前、治疗第2、4和8周以及6只犬在停药后第2和4周进行TSH反应试验。所有犬在治疗前和治疗第6周以及6只犬在停药后第5周进行TRH反应试验。治疗第2周时,T3对TSH的反应明显受到抑制,而T4反应在第4周受到抑制,并在研究期间持续受到抑制。停药4周后,2只犬的T4和T3对TSH的反应处于甲状腺功能减退范围内。甲状腺素治疗6周后,T4对TRH的反应完全受到抑制,但在停药后5周恢复到治疗前水平。对甲状腺功能正常的犬给予替代剂量的左甲状腺素后,甲状腺和垂体功能受到明显抑制。

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