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甲状腺疾病中的血浆高密度脂蛋白胆固醇

Plasma high density lipoprotein cholesterol in thyroid disease.

作者信息

Agdeppa D, Macaron C, Mallik T, Schnuda N D

出版信息

J Clin Endocrinol Metab. 1979 Nov;49(5):726-9. doi: 10.1210/jcem-49-5-726.

DOI:10.1210/jcem-49-5-726
PMID:226559
Abstract

The plasma levels of high density lipoprotein cholesterol (HDL-C) were reduced in 16 hyperthyroid female patients compared to 37 euthyroid women (33.5 +/- 8 vs. 51.5 +/- 13 mg/dl (mean +/- SD); P less than 0.001). When 5 patients were restudied after restoration of the euthyroid state, plasma HDL-C increased from 29 +/- 5 to 43 +/- 11.5 mg/dl (P less than 0.05). In addition, in 22 hypothyroid women, HDL-C levels were also diminished compared to the euthyroid group (43.4 +/- 15.5 vs. 51.5 +/- 13 mg/dl; P less than 0.05). Nine patients were restudied after L-T4 replacement therapy; their levels of HDL-C increased but not to a statistically significant degree. The daily administration of 0.3 mg L-T4 to eight normal male volunteers for 1 month did not significantly affect HDL-C levels.

摘要

与37名甲状腺功能正常的女性相比,16名甲状腺功能亢进的女性患者的血浆高密度脂蛋白胆固醇(HDL-C)水平降低(33.5±8 vs. 51.5±13 mg/dl(平均值±标准差);P<0.001)。当5名患者在恢复甲状腺功能正常状态后再次接受检查时,血浆HDL-C从29±5升高至43±11.5 mg/dl(P<0.05)。此外,在22名甲状腺功能减退的女性中,与甲状腺功能正常组相比,HDL-C水平也降低(43.4±15.5 vs. 51.5±13 mg/dl;P<0.05)。9名患者在接受左甲状腺素(L-T4)替代治疗后再次接受检查;他们的HDL-C水平有所升高,但未达到统计学显著程度。对8名正常男性志愿者每日给予0.3 mg L-T4,持续1个月,对HDL-C水平没有显著影响。

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