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假性剥脱综合征和原发性开角型青光眼中甲状腺激素、维生素D、维生素B12、叶酸、C反应蛋白及血红蛋白的血清水平

Serum levels of thyroid hormone, vitamin D, vitamin B12, folic acid, C-reactive protein, and hemoglobin in Pseudoexfoliation and primary open angle Glaucoma.

作者信息

Atalay K, Savur F G, Kirgiz A, Kaldırım H E, Zengi O

机构信息

Istanbul Health Sciences University, Bagcilar Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey.

Istanbul Health Sciences University, Bagcilar Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey.

出版信息

J Fr Ophtalmol. 2019 Sep;42(7):730-738. doi: 10.1016/j.jfo.2019.01.002. Epub 2019 May 15.

Abstract

PURPOSE

To examine levels of serum thyroid stimulating hormone (TSH), free triiodothyronine (fT3), free thyroxine (fT4), vitamin D, vitamin B12 (B12), folic acid (FA), c-reactive protein (CRP), and hemoglobin in pseudoexfoliation glaucoma (XFG) and primary open angle glaucoma (POAG) patients.

MATERIALS AND METHODS

A hospital-based, prospective, cross-sectional study was conducted from October 2016 through June 2017 and October 2017 through January 2018. The number of patients was 33 in the control group, 29 in the XFG group and 77 in the POAG group.

RESULTS

The mean±SD levels of TSH, fT4, fT3, vitamin D, B12, FA, CRP, and hemoglobin were 2.52±2.07 mU/l, 1.15±0.24ng/dl, 3.16±3.37pg/ml, 20.83±14.06ng/ml, 318.29±115.48pg/ml, 7.7±4.01ng/ml, 3.78±3.83mg/l, 13.36±2.08g/dl in control group respectively. The levels for the XFG patients were as follows: TSH 2.02±1.16 mU/l, fT3 3.10±0.46pg/ml, fT4 1.18±0.19ng/dl, vitamin D 20.02±19.30ng/dl, B12 302.13±142.44pg/ml, FA 9.55±3.67ng/ml, CRP 3.69±3.22mg/l, and hemoglobin 13.58±1.38g/dl. In the POAG group, serum levels of TSH, fT4, fT3, vitamin D, B12, FA, CRP, and hemoglobin were 1.88±1.13 mU/l, 1.23±0.14ng/dl, 3.16±0.43pg/ml, 15.7±12.0ng/ml, 297.71±150.66pg/ml, 9.1±4.1ng/ml, 4.16±5.12mg/l, and 14.09±1.45 respectively. Only mean vitamin D levels show a significant difference between the control group and POAG (p=0.015).

CONCLUSION

POAG patients show decreased Vitamin D levels. Our study shows no significant differences in other biochemical markers between XFG, POAG and control subjects.

摘要

目的

检测假性剥脱性青光眼(XFG)和原发性开角型青光眼(POAG)患者的血清促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(fT3)、游离甲状腺素(fT4)、维生素D、维生素B12(B12)、叶酸(FA)、C反应蛋白(CRP)和血红蛋白水平。

材料与方法

于2016年10月至2017年6月以及2017年10月至2018年1月进行了一项基于医院的前瞻性横断面研究。对照组有33例患者,XFG组有29例患者,POAG组有77例患者。

结果

对照组TSH、fT4、fT3、维生素D、B12、FA、CRP和血红蛋白的平均±标准差水平分别为2.52±2.07mU/l、1.15±0.24ng/dl、3.16±3.37pg/ml、20.83±14.06ng/ml、318.29±115.48pg/ml、7.7±4.01ng/ml、3.78±3.83mg/l、13.36±2.08g/dl。XFG患者的水平如下:TSH为2.02±1.16mU/l,fT3为3.10±0.46pg/ml,fT4为1.18±0.19ng/dl,维生素D为20.02±19.30ng/ml,B12为302.13±142.44pg/ml,FA为9.55±3.67ng/ml,CRP为3.69±3.22mg/l,血红蛋白为13.58±1.38g/dl。在POAG组中,血清TSH、fT4、fT3、维生素D、B12、FA、CRP和血红蛋白水平分别为1.88±1.13mU/l、1.23±0.14ng/dl、3.16±0.43pg/ml、15.7±12.0ng/ml、297.71±150.66pg/ml、9.1±4.1ng/ml、4.16±5.12mg/l和14.09±1.45。仅平均维生素D水平在对照组和POAG组之间显示出显著差异(p = 0.015)。

结论

POAG患者的维生素D水平降低。我们的研究表明,XFG、POAG和对照组受试者之间的其他生化标志物无显著差异。

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