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肥胖症空肠回肠旁路术后血清游离三碘甲状腺原氨酸降低。

Decrease in serum free triiodothyronine after jejuno-ileal bypass for obesity.

作者信息

Stokholm K H

出版信息

Int J Obes. 1981;5(2):171-6.

PMID:6785245
Abstract

Seventeen patients with stable body-weights who had undergone a jejuno-ileal bypass for obesity, and 25 obese patients matching in sex, age and height were studied. Median serum concentration of free triiodothyronine (3.7 pmol/l) in the jejuno-ileal bypass patients was significantly (P less than 0.001) decreased by 18 per cent (95 per cent confidence limits: 11-27 per cent). Correspondingly median serum concentration of total triiodothyronine (1.47 nmol/l) was significantly (P less than 0.0001) decreased by 18 per cent (95 per cent confidence limits:11-27 per cent). The medium serum concentrations of free thyroxine (27.5 pmol/l) and total thyroxine 94 nmol/l) were of equal size in jejuno-ileal bypass patients and obese patients. In the bypass patients the median serum concentration of thyroxine-binding prealbumin (3.9 micromol/l) ws significantly (P less than 0.05) decreased by 13 per cent (95 per cent confidence limits: 7-27 per cent), whereas no significant changes could be demonstrated in thyroxine-binding globulin.

摘要

对17名体重稳定且因肥胖接受空肠回肠分流术的患者,以及25名在性别、年龄和身高上匹配的肥胖患者进行了研究。空肠回肠分流术患者的游离三碘甲状腺原氨酸血清中位数浓度(3.7 pmol/l)显著降低(P<0.001),降幅为18%(95%置信区间:11%-27%)。相应地,总三碘甲状腺原氨酸血清中位数浓度(1.47 nmol/l)显著降低(P<0.0001),降幅为18%(95%置信区间:11%-27%)。空肠回肠分流术患者和肥胖患者的游离甲状腺素血清中位数浓度(27. pmol/l)和总甲状腺素血清中位数浓度(94 nmol/l)相当。在分流术患者中,甲状腺素结合前白蛋白血清中位数浓度(3.9 μmol/l)显著降低(P<0.05),降幅为13%(95%置信区间:7%-27%),而甲状腺素结合球蛋白未显示出显著变化。

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1
Decrease in serum free triiodothyronine after jejuno-ileal bypass for obesity.肥胖症空肠回肠旁路术后血清游离三碘甲状腺原氨酸降低。
Int J Obes. 1981;5(2):171-6.
2
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