Sawin C T
Endocrine-Diabetes Section, Boston DVAMC, Massachusetts, USA.
Clin Geriatr Med. 1995 May;11(2):231-8.
Because subclinical hypothyroidism is common (4%-8% of people older than 60 years of age), has some clinical consequences, and is easily and safely treated, screening of older persons is justified. Diagnosis depends on showing a raised serum TSH (less than 10 mU/L), a test that will cost less in the near future. There are, however, still some uncertainties about this condition, and supportive data are not perfect. Better studies are essential to help define clinical practice.
由于亚临床甲状腺功能减退很常见(60岁以上人群中有4%-8%),会产生一些临床后果,且易于安全治疗,因此对老年人进行筛查是合理的。诊断依赖于血清促甲状腺激素升高(低于10 mU/L),这项检测在不久的将来成本会降低。然而,关于这种情况仍存在一些不确定性,支持数据也并不完善。更好的研究对于帮助明确临床实践至关重要。