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甲状腺功能亢进及其治疗对骨矿物质含量的影响。

Effect of hyperthyroidism and its treatment on bone mineral content.

作者信息

Toh S H, Claunch B C, Brown P H

出版信息

Arch Intern Med. 1985 May;145(5):883-6.

PMID:3838875
Abstract

Patients with hyperthyroidism may develop osteopenia associated with fractures; however, there has been no general agreement on the incidence of osteopenia in hyperthyroidism or the recovery of the mineral loss after treatment of hyperthyroidism. We conducted a longitudinal prospective study on the effect of hyperthyroidism and its treatment on bone mineral content (BMC) using photon absorptiometry. We observed that both young and older hyperthyroid patients showed a significantly decreased baseline BMC compared with age- and sex-matched controls. We also observed a slight recovery of BMC in hyperthyroid patients at the two-year interval after a euthyroid state had been achieved. However, the BMC was still much lower than that of controls, and we did not find any significant restoration of BMC following "cure" of hyperthyroidism.

摘要

甲状腺功能亢进症患者可能会出现与骨折相关的骨质减少;然而,关于甲状腺功能亢进症中骨质减少的发生率或甲状腺功能亢进症治疗后矿物质流失的恢复情况,目前尚无普遍共识。我们使用光子吸收法对甲状腺功能亢进症及其治疗对骨矿物质含量(BMC)的影响进行了一项纵向前瞻性研究。我们观察到,与年龄和性别匹配的对照组相比,年轻和老年甲状腺功能亢进症患者的基线BMC均显著降低。我们还观察到,在达到甲状腺功能正常状态后的两年间隔内,甲状腺功能亢进症患者的BMC略有恢复。然而,BMC仍远低于对照组,并且在甲状腺功能亢进症“治愈”后,我们未发现BMC有任何显著恢复。

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