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本文引用的文献

1
Evaluation of thyroid hormone levels and somatomedin-C (IGF-1) in patients with chronic obstructive pulmonary disease (COPD) and relation with the severity of the disease.慢性阻塞性肺疾病(COPD)患者甲状腺激素水平和生长调节素C(IGF-1)的评估及其与疾病严重程度的关系。
Tuberk Toraks. 2009;57(4):369-75.
2
Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary.慢性阻塞性肺疾病诊断、管理和预防全球策略:GOLD执行摘要
Am J Respir Crit Care Med. 2007 Sep 15;176(6):532-55. doi: 10.1164/rccm.200703-456SO. Epub 2007 May 16.
3
Pulmonary function tests and thyroid hormone concentrations in patients with chronic obstructive pulmonary disease.慢性阻塞性肺疾病患者的肺功能测试与甲状腺激素浓度
Med Princ Pract. 2004 May-Jun;13(3):126-8. doi: 10.1159/000076950.
4
Effects of severity of chronic obstructive pulmonary disease on thyroid function.慢性阻塞性肺疾病严重程度对甲状腺功能的影响。
Metabolism. 2001 Dec;50(12):1397-401. doi: 10.1053/meta.2001.28157.
5
Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.慢性阻塞性肺疾病诊断、管理和预防全球策略。美国国立心肺血液研究所/世界卫生组织慢性阻塞性肺疾病全球倡议(GOLD)研讨会总结。
Am J Respir Crit Care Med. 2001 Apr;163(5):1256-76. doi: 10.1164/ajrccm.163.5.2101039.
6
Impact of hypoxaemia on neuroendocrine function and catecholamine secretion in chronic obstructive pulmonary disease (COPD). Effects of long-term oxygen treatment.低氧血症对慢性阻塞性肺疾病(COPD)神经内分泌功能及儿茶酚胺分泌的影响。长期氧疗的作用。
Respir Med. 2000 Dec;94(12):1221-8. doi: 10.1053/rmed.2000.0953.
7
Dangerous dogmas in medicine: the nonthyroidal illness syndrome.医学中的危险教条:非甲状腺疾病综合征
J Clin Endocrinol Metab. 1999 Jan;84(1):151-64. doi: 10.1210/jcem.84.1.5364.
8
Dyspnea. Mechanisms, assessment, and management: a consensus statement. American Thoracic Society.呼吸困难:机制、评估与管理:共识声明。美国胸科学会。
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9
Prevalence of an elevated resting energy expenditure in patients with chronic obstructive pulmonary disease in relation to body composition and lung function.慢性阻塞性肺疾病患者静息能量消耗升高与身体组成和肺功能的关系
Eur J Clin Nutr. 1998 Jun;52(6):396-401. doi: 10.1038/sj.ejcn.1600571.
10
Clinical review 86: Euthyroid sick syndrome: is it a misnomer?临床综述86:甲状腺功能正常的病态综合征:这一名称是否用词不当?
J Clin Endocrinol Metab. 1997 Feb;82(2):329-34. doi: 10.1210/jcem.82.2.3745.

评估慢性阻塞性肺疾病患者的甲状腺功能试验。

Assessment of thyroid function tests in patients with chronic obstructive pulmonary disease.

机构信息

Department of Medicine, College of Medicine, University of Kufa, Najaf, Iraq.

Babylon Health Directorate, Alsadiq Teaching Hospital, Babylon, Iraq.

出版信息

J Med Life. 2022 Dec;15(12):1532-1535. doi: 10.25122/jml-2022-0069.

DOI:10.25122/jml-2022-0069
PMID:36762334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9884349/
Abstract

Chronic obstructive pulmonary disease (COPD), a group of diseases of distinct aetio-pathological consideration with different phenotypic presentations where smoking is the leading cause, all share the ultimate result of airflow limitation. This study aimed to evaluate thyroid function tests (TFT) in patients with COPD. Pulmonary function tests (PFT) were performed for 30 patients with obstructive lung disease and fifteen healthy control individuals. We measured SPO to confirm COPD and assess the severity of the disease and assessed TT3, TT4, and TSH using the ELISA test. The values of VC, FVC, and FEV in the first second and PEF, TSH, and SPO were lower in the COPD group than in the control group (P-value=0.001). In severe COPD (FEV<50%), there was a significant reduction in T3 but not T4 or TSH compared to mild-moderate COPD patients. Thyroid dysfunction was observed in patients with COPD pointing to a metabolic response; patients with lower weight indices had a lower TSH and, consequently, T3.

摘要

慢性阻塞性肺疾病(COPD),一组具有不同表型表现和特定病因病理考虑的疾病,其中吸烟是主要原因,都共享气流受限的最终结果。本研究旨在评估 COPD 患者的甲状腺功能测试(TFT)。对 30 名阻塞性肺病患者和 15 名健康对照组进行了肺功能测试(PFT)。我们测量了 SPO 以确认 COPD,并评估疾病的严重程度,并使用 ELISA 测试测量 TT3、TT4 和 TSH。COPD 组的 VC、FVC、FEV 在第一秒和 PEF、TSH 和 SPO 的值低于对照组(P 值=0.001)。在严重 COPD(FEV<50%)中,与轻度至中度 COPD 患者相比,T3 显著降低,但 T4 或 TSH 没有降低。在 COPD 患者中观察到甲状腺功能障碍,表明存在代谢反应;体重指数较低的患者 TSH 较低,因此 T3 也较低。