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甲状腺-心包连接:揭示古吉拉特邦南部患者群体中甲状腺功能减退严重程度对心包积液的影响——一项横断面研究。

The thyroid-pericardium connection: Unveiling the influence of hypothyroidism severity on pericardial effusion in South Gujarat's patient population-A cross-sectional study.

作者信息

Vaghela Nital N, Jadav Naresh B, Shah Yash R, Parmar Ajay T, Munnangi Pragathi R, Madhupalli Reshma N

机构信息

Department of Medicine, Government Medical College, Surat, Gujarat, India.

出版信息

J Family Med Prim Care. 2024 Mar;13(3):1049-1054. doi: 10.4103/jfmpc.jfmpc_1236_23. Epub 2024 Apr 4.

DOI:10.4103/jfmpc.jfmpc_1236_23
PMID:38736801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11086790/
Abstract

CONTEXT

Hypothyroidism and pericardial effusion are two conditions that are associated with previous research. Nevertheless, the correlation between the severity of hypothyroidism and the occurrence of pericardial effusion remains uncertain.

AIMS

  1. To explore and examine the association between the severity of hypothyroidism and the occurrence of pericardial effusion. 2. To compare clinical characteristics and demographic factors with varying degrees of hypothyroidism severity and pericardial effusion.

SETTINGS AND DESIGN

Tertiary care hospital and cross-sectional study using a pretested, semistructured questionnaire and echocardiography.

METHOD AND MATERIAL

The cross-sectional study encompassed a cohort of 60 patients diagnosed with hypothyroidism.

STATISTICAL ANALYSIS USED

Epi-info version 7.0 and Open epi version 3.1, Chi-square, mean, and standard deviation were used.

RESULTS

There were 16 male participants, accounting for 26.7% of the total, and 44 female participants, constituting 73.3% of the cohort. The participants' average age was 35.5 years. Based on TSH levels, the severity of hypothyroidism in the study was classified into three categories: mild (33.4%), moderate (43.3%), and severe (23.3%). The most common symptoms were lethargy, weight gain, and cold intolerance. Also, an association between the severity of hypothyroidism and pericardial effusion was noted.

CONCLUSION

This research established a noteworthy correlation between hypothyroidism severity and pericardial effusion incidence that is statistically significant. Nevertheless, no significant associations were detected with demographic factors or pulse rate. These results underscore the significance of monitoring and addressing pericardial effusion in patients with moderate-to-severe hypothyroidism. Further investigations are warranted to extend these findings.

摘要

背景

甲状腺功能减退症和心包积液是与先前研究相关的两种病症。然而,甲状腺功能减退症的严重程度与心包积液发生之间的相关性仍不确定。

目的

  1. 探讨并检验甲状腺功能减退症的严重程度与心包积液发生之间的关联。2. 比较不同程度甲状腺功能减退症严重程度和心包积液患者的临床特征及人口统计学因素。

设置与设计

三级医疗医院,采用预先测试的半结构化问卷和超声心动图进行横断面研究。

方法与材料

横断面研究纳入了60例诊断为甲状腺功能减退症的患者。

所用统计分析方法

使用Epi-info 7.0版和Open epi 3.1版,采用卡方检验、均值和标准差。

结果

有16名男性参与者,占总数的26.7%,44名女性参与者,占队列的73.3%。参与者的平均年龄为35.5岁。根据促甲状腺激素(TSH)水平,研究中甲状腺功能减退症的严重程度分为三类:轻度(33.4%)、中度(43.3%)和重度(23.3%)。最常见的症状是嗜睡、体重增加和不耐寒。此外,还注意到甲状腺功能减退症的严重程度与心包积液之间存在关联。

结论

本研究证实了甲状腺功能减退症严重程度与心包积液发生率之间存在值得关注的、具有统计学意义的相关性。然而,未发现与人口统计学因素或脉搏率有显著关联。这些结果强调了对中重度甲状腺功能减退症患者监测和处理心包积液的重要性。有必要进一步开展研究以拓展这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/4298da5b0cca/JFMPC-13-1049-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/25f482727d69/JFMPC-13-1049-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/c6b5becdd699/JFMPC-13-1049-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/4298da5b0cca/JFMPC-13-1049-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/25f482727d69/JFMPC-13-1049-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/c6b5becdd699/JFMPC-13-1049-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f3/11086790/4298da5b0cca/JFMPC-13-1049-g003.jpg

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本文引用的文献

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Pericardial effusion in hypothyroidism: A case report.甲状腺功能减退症中的心包积液:一例报告。
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Prevalence of hypothyroidism in adults: An epidemiological study in eight cities of India.成人甲状腺功能减退症的患病率:印度八个城市的一项流行病学研究。
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