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饮酒时长与酒精依赖之间的相互作用对甲状腺功能测试的影响:横断面观察性研究

Effect of Interaction Between Duration of Alcohol Consumption and Alcohol Dependence on Thyroid Function Test: Cross Sectional Observational Study.

作者信息

Honnamurthy J B, Shivashankara A R, Avinash S S, John Mathai P, Malathi M

机构信息

1Department of Biochemistry, Father Muller Medical College, Father Muller Road, Kankanady, Mangalore, Karnataka India.

2Department of Psychiatry, Father Muller Medical College, Father Muller Road, Kankanady, Mangalore, Karnataka India.

出版信息

Indian J Clin Biochem. 2018 Jan;33(1):61-68. doi: 10.1007/s12291-017-0645-6. Epub 2017 Mar 13.

Abstract

Dependence on alcohol, nicotine and duration of alcohol consumption are known to alter thyroid function tests. This study was conducted to assess the effect of interaction between the duration of alcohol consumption and alcohol dependence on TFT. The subjects consisted of 38 male patients with alcohol dependent syndrome co morbid with nicotine dependent syndrome, 33 male patients with alcohol dependent syndrome and 30 male normal healthy volunteers. Liver function tests, haematological parameters and thyroid function tests were assayed. Two way multivariate ANOVA was used to assess the interaction effect by SPSS 21 package. Multivariate analysis of combined TFT levels revealed no significant ( = .078) difference amongst groups based on alcohol dependence, significant difference ( = .001) amongst groups based on duration of alcohol consumption and no significant ( = .604) interaction effect between duration of alcohol consumption and alcohol dependence. Tests of between subject effects for individual TFT revealed significant ( = .014) difference in T3 between groups based on alcohol dependence, significant difference in the levels of fT4 ( = .001), T3 ( = .07) and T4 ( < .001) between groups based on duration of alcohol consumption was observed. Interaction between the effect of duration of alcohol consumption and alcohol dependence for individual TFT did not reveal any significance. fT4, TSH and T4 levels were significantly low in persons consuming alcohol for more than 20 years. TSH levels were significantly low in ADS compared to controls. Significant decrease in the levels of thyroid hormones was observed as the duration of alcohol consumption increased.

摘要

已知对酒精、尼古丁的依赖以及饮酒时长会改变甲状腺功能测试结果。本研究旨在评估饮酒时长与酒精依赖之间的相互作用对甲状腺功能测试的影响。研究对象包括38名患有酒精依赖综合征且合并尼古丁依赖综合征的男性患者、33名患有酒精依赖综合征的男性患者以及30名正常健康男性志愿者。检测了肝功能测试、血液学参数和甲状腺功能测试。使用SPSS 21软件包通过双向多变量方差分析来评估相互作用效应。对合并的甲状腺功能测试水平进行多变量分析发现,基于酒精依赖的各组之间无显著差异(P = 0.078),基于饮酒时长的各组之间存在显著差异(P = 0.001),且饮酒时长与酒精依赖之间无显著的相互作用效应(P = 0.604)。对个体甲状腺功能测试的组间效应检验显示,基于酒精依赖的各组之间T3有显著差异(P = 0.014),基于饮酒时长的各组之间游离甲状腺素(fT4)、T3(P = 0.07)和T4(P < 0.001)水平存在显著差异。饮酒时长与酒精依赖对个体甲状腺功能测试的相互作用未显示出任何显著性。饮酒超过20年的人群中,fT4、促甲状腺激素(TSH)和T4水平显著降低。与对照组相比,酒精依赖综合征患者的TSH水平显著降低。随着饮酒时长增加,观察到甲状腺激素水平显著下降。

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