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扑米酮对甲状腺功能的影响(作者译)

[The influence of primidone on thyroid function (author's transl)].

作者信息

Schönberger W, Grimm W, Schönberger G, Sinterhauf K, Scheidt E, Ziegler R

出版信息

Dtsch Med Wochenschr. 1979 Jun 22;104(25):915-7. doi: 10.1055/s-0028-1104014.

Abstract

The influence of primidone on thyroxine level, T3 index, FT4 index, triiodothyronine level, T3 (RIA)/T4 (RIA) quotient as well as on the TSH basal and stimulated values was investigated in 30 children on long-term treatment. The values obtained were compared statistically with those of a normal group. During primidone treatment a drop in T4 level and in FT4 index as well as an increase in T3 (RIA)/T4 (RIA) quotient was observed. On the other hand the triiodothyronine level and the T3 index were not influenced. The TSH basal and stimulated values were not statistically different from the control group. Thus the primidone-treated children are euthyroid according to the TRH test. Primidone probably stimulates hepatocellular thyroxine breakdown.

摘要

对30名接受长期治疗的儿童,研究了扑米酮对甲状腺素水平、T3指数、游离甲状腺素指数、三碘甲状腺原氨酸水平、T3(放射免疫分析法)/T4(放射免疫分析法)比值以及促甲状腺激素基础值和刺激值的影响。将所得数值与正常组进行统计学比较。在扑米酮治疗期间,观察到T4水平和游离甲状腺素指数下降,以及T3(放射免疫分析法)/T4(放射免疫分析法)比值升高。另一方面,三碘甲状腺原氨酸水平和T3指数未受影响。促甲状腺激素基础值和刺激值与对照组无统计学差异。因此,根据促甲状腺激素释放激素试验,接受扑米酮治疗的儿童甲状腺功能正常。扑米酮可能刺激肝细胞甲状腺素分解。

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