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甲状腺功能正常和甲状腺功能减退犬的样本采集时间对血清促甲状腺激素浓度的影响。

Effect of time of sample collection on serum thyroid-stimulating hormone concentrations in euthyroid and hypothyroid dogs.

作者信息

Bruner J M, Scott-Moncrieff J C, Williams D A

机构信息

Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-1240, USA.

出版信息

J Am Vet Med Assoc. 1998 May 15;212(10):1572-5.

PMID:9604026
Abstract

OBJECTIVE

To determine effect of time of sample collection on serum thyrotropin (canine thyroid-stimulating hormone [cTSH]) concentrations in euthyroid and hypothyroid dogs.

DESIGN

Prospective study.

ANIMALS

6 healthy adult euthyroid dogs, 6 adult Beagles with 131iodine-induced hypothyroidism before and during administration of levothyroxine sodium, and 6 adult dogs with naturally developing hypothyroidism.

PROCEDURE

Healthy euthyroid dogs were identified. Hypothyroidism was induced by administration of 131sodium iodide and confirmed by thyroid-stimulating hormone testing. These dogs then received levothyroxine for 30 days. Naturally developing hypothyroidism was diagnosed on the basis of clinical signs, low serum thyroxine (T4) concentrations, and high cTSH concentrations or abnormal results on a thyrotropin-releasing hormone response test. Samples for measurement of cTSH and T4 concentrations were obtained at 2-hour intervals from 8 AM to 8 PM.

RESULTS

Mean (+/- SD) serum cTSH concentrations for healthy dogs, dogs with induced hypothyroidism before and during treatment, and dogs with naturally developing hypothyroidism were 0.11 +/- 0.08, 3.31 +/- 1.30, 0.08 +/- 0.07, and 0.55 +/- 0.27 ng/ml, respectively. Diurnal variation in cTSH concentrations was not detected. Clinically important random fluctuations in cTSH concentrations were detected for dogs with naturally developing hypothyroidism.

CLINICAL IMPLICATIONS

Sample collection time does not appear to predictably influence cTSH concentrations; however, dogs with naturally developing hypothyroidism may have random fluctuations in cTSH concentrations.

摘要

目的

确定样本采集时间对甲状腺功能正常和甲状腺功能减退犬血清促甲状腺激素(犬促甲状腺激素[cTSH])浓度的影响。

设计

前瞻性研究。

动物

6只健康成年甲状腺功能正常犬、6只成年比格犬,在给予左甲状腺素钠之前和期间患有131碘诱导的甲状腺功能减退,以及6只自然发生甲状腺功能减退的成年犬。

程序

确定健康的甲状腺功能正常犬。通过给予131碘化钠诱导甲状腺功能减退,并通过促甲状腺激素检测确认。这些犬随后接受左甲状腺素治疗30天。根据临床症状、低血清甲状腺素(T4)浓度、高cTSH浓度或促甲状腺激素释放激素反应试验异常结果诊断自然发生的甲状腺功能减退。从上午8点到晚上8点,每隔2小时采集一次用于测量cTSH和T4浓度的样本。

结果

健康犬、诱导性甲状腺功能减退治疗前和治疗期间的犬以及自然发生甲状腺功能减退的犬的平均(±标准差)血清cTSH浓度分别为0.11±0.08、3.31±1.30、0.08±0.07和0.55±0.27 ng/ml。未检测到cTSH浓度的昼夜变化。在自然发生甲状腺功能减退的犬中检测到cTSH浓度临床上重要的随机波动。

临床意义

样本采集时间似乎不会可预测地影响cTSH浓度;然而,自然发生甲状腺功能减退的犬可能在cTSH浓度上有随机波动。

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