Reuter E, Papassotiriou V, Veit J
Röntgen- und Nuklearmedizinischen Abteilung, Wenckebach-Krankenhaus, Berlin, FRG.
Nuklearmedizin. 1994 Feb;33(1):24-9.
Results of tests for thyroid function are presented in two equal observation periods. Compared with the first the frequency of TSH-determinations was doubled in the second period. Data were taken from non-selected in-patients in a general hospital. In connection to clinical information TSH determination served as the first laboratory test. Prevalence data of hyperthyroid and hypothyroid dysfunction in the patients observed are given. According to controversies in health care the efficiency and efficacy of thyroid function tests are discussed. In an iodine deficient area TSH-determination uncovers many more thyroid dysfunctions in elderly patients than expected clinically. Screening of this risk group with TSH in connection with clinical information is an adequate diagnostic procedure in an area of mild iodine deficiency.
甲状腺功能测试结果在两个相等的观察期内呈现。与第一个时期相比，第二个时期促甲状腺激素（TSH）测定的频率增加了一倍。数据取自一家综合医院未经挑选的住院患者。结合临床信息，TSH测定作为首次实验室检查。给出了所观察患者中甲状腺功能亢进和减退功能障碍的患病率数据。根据医疗保健方面的争议，对甲状腺功能测试的效率和效果进行了讨论。在碘缺乏地区，TSH测定发现老年患者中甲状腺功能障碍的数量比临床预期的要多得多。在轻度碘缺乏地区，结合临床信息用TSH对该风险人群进行筛查是一种适当的诊断程序。
