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COVID-19 住院期间甲状腺激素在甲状腺功能正常和 LT4 治疗患者中的测定。

Thyroid Hormones Determination in Euthyroid and LT4-Treated Patients During COVID-19 Hospitalization.

机构信息

Clinic San Carlos Hospital, Madrid, Spain.

出版信息

Methods Mol Biol. 2025;2876:241-255. doi: 10.1007/978-1-0716-4252-8_16.

DOI:10.1007/978-1-0716-4252-8_16
PMID:39579320
Abstract

The global impact of the novel coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was significant, including in Spain. The initial outbreak in late January 2020 prompted a frantic effort to comprehend the virus and contain its spread, given the limited knowledge available at the time. The study by Amich et al. (2022) in Frontiers in Endocrinology aimed to investigate the influence of thyroid hormone levels and age on the severity of COVID-19 in euthyroid and levothyroxine-treated patients. Although a direct correlation between thyroid hormone levels and the severity of COVID-19 has not been established, it is known that thyroid dysfunction affects immune function and general health, which may impact the outcomes of COVID-19. The research included patients from the Clinic San Carlos Hospital in Madrid, and a comprehensive range of data was collected from each patient, including demographic information, symptoms, comorbidities, and laboratory test results. This approach was employed in order to accurately match patients and identify factors that may influence the severity of COVID-19 outcomes. Blood samples were analyzed using chemiluminescence on a DXI-800® instrument, with the following hormones quantified: thyroid-stimulating hormone (TSH), free thyroxine (FT4), and free triiodothyronine (FT3). These insights contribute to an understanding of the interplay between thyroid function and the severity of COVID-19, highlighting the need for careful patient management in those with thyroid disorders during the pandemic.

摘要

新型冠状病毒病(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的,其在全球范围内产生了重大影响,西班牙也不例外。2020 年 1 月底,该疾病首次爆发,由于当时的知识有限,人们疯狂地努力去了解该病毒并控制其传播。Amich 等人在《内分泌前沿》(Frontiers in Endocrinology)杂志上的研究旨在调查甲状腺激素水平和年龄对甲状腺功能正常和接受左甲状腺素治疗的 COVID-19 患者严重程度的影响。虽然尚未确定甲状腺激素水平与 COVID-19 严重程度之间存在直接相关性,但已知甲状腺功能障碍会影响免疫功能和整体健康状况,这可能会影响 COVID-19 的结果。该研究纳入了马德里 Clinic San Carlos 医院的患者,从每位患者那里收集了全面的信息,包括人口统计学信息、症状、合并症和实验室检测结果。采用这种方法是为了准确匹配患者并确定可能影响 COVID-19 结果严重程度的因素。使用 DXI-800®仪器上的化学发光法分析血样,定量检测以下激素:促甲状腺激素(TSH)、游离甲状腺素(FT4)和游离三碘甲状腺原氨酸(FT3)。这些见解有助于了解甲状腺功能与 COVID-19 严重程度之间的相互作用,强调了在大流行期间,需要对患有甲状腺疾病的患者进行仔细的管理。

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Thyroid Hormones Determination in Euthyroid and LT4-Treated Patients During COVID-19 Hospitalization.COVID-19 住院期间甲状腺激素在甲状腺功能正常和 LT4 治疗患者中的测定。
Methods Mol Biol. 2025;2876:241-255. doi: 10.1007/978-1-0716-4252-8_16.
2
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Free triiodothyronine levels and age influences the metabolic profile and COVID-19 severity parameters in euthyroid and levothyroxine-treated patients.游离三碘甲状腺原氨酸水平和年龄影响甲状腺功能正常和左甲状腺素治疗患者的代谢特征和 COVID-19 严重程度参数。
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