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桥本甲状腺炎甲状腺功能减退型患者甲状腺激素状态与饮用水碘浓度的关系。

Relationship Between Thyroid Hormonal Status in Patients with a Hypothyroid Form of Hashimoto's Thyroiditis and Iodine Concentrations in Drinking Water.

机构信息

Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

Institute of Biology and Earth Sciences, Pomeranian University in Słupsk, Arciszewski Str. 22b, 76-200, Słupsk, Poland.

出版信息

Biol Trace Elem Res. 2022 Jan;200(1):59-66. doi: 10.1007/s12011-021-02640-2. Epub 2021 Mar 2.

Abstract

The current study aimed to identify correlative and regressive dependencies between the water iodine concentration and the levels of TSH (thyroid-stimulating hormone), thyroglobulin antibodies (TgAbs), and thyroid peroxidase (TPOAb) in the serum of 168 in patients (34 men and 134 women) with a hypothyroid form of Hashimoto's thyroiditis who use water from the supply network and individual wells. Based on the water iodine concentration, low and moderate degrees of iodine endemia in the location of the patients were determined. In the groups of men and women using water from different water supply sources, there were direct correlations between the water iodine concentrations and the TgAbs and TPOAb titers as well as an inverse dependence between iodine and TSH levels. Multivariate regressive analysis indicated that TgAb and TSH in the group of women using water from a supply network and TPOAb titers in the group of women using well water were independent factors associated with water iodine concentrations. Statistically significant correlations and regressive dependencies between the water iodine concentrations and the biomarkers of the thyroid status of the patients indicate the risk of Hashimoto's thyroiditis progression, especially among women with additional iodine intake.

摘要

本研究旨在鉴定 168 例甲状腺功能减退型桥本甲状腺炎患者(男 34 例,女 134 例)血清促甲状腺激素(TSH)、甲状腺球蛋白抗体(TgAb)和甲状腺过氧化物酶(TPOAb)水平与水碘浓度之间的相关和回归关系,这些患者使用供应网络和个别水井中的水。根据水碘浓度,确定了患者所在位置的轻度和中度碘地方性疾病。在使用不同供水源的男性和女性组中,水碘浓度与 TgAb 和 TPOAb 效价之间存在直接相关性,而碘与 TSH 水平之间存在负相关性。多元回归分析表明,来自供应网络的水的女性组中的 TgAb 和 TSH 以及来自水井的水的女性组中的 TPOAb 效价是与水碘浓度相关的独立因素。患者甲状腺功能状态生物标志物与水碘浓度之间存在显著的相关性和回归关系,表明桥本甲状腺炎进展的风险增加,尤其是在有额外碘摄入的女性中。

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