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游离三碘甲状腺原氨酸 游离甲状腺素 促甲状腺激素 三碘甲状腺原氨酸 甲状腺素诊断甲状腺功能亢进的临床意义

Clinical significance of free triodothyronine,free thyroxine,thyrotropin,triodothyronine and thyroxine in diagnosis of hyperthyroidism
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摘要 目的分析甲状腺功能亢进患者采用游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)检测的临床意义。方法将2020年1月至2023年6月检验科收诊的50例甲状腺功能亢进患者命名为疾病组,将同期健康体检者40例命名为健康组,分析2组研究对象FT3、FT4、TSH、T3、T4水平。分析FT3、FT4、TSH与T3、T4联合检测对甲状腺功能亢进的诊断效能。结果健康组患者血清FT3、FT4、T3、T4水平均低于疾病组,而血清TSH水平高于疾病组;FT3+FT4+TSH+T3+T4联合检测的阳性率、灵敏度、诊断准确率高于FT3+FT4+TSH联合检测与T3+T4联合检测J(P 0.05)。结论患者进行FT3、FT4、TSH、T3、T4水平诊断,能有效判断患者是否存在甲状腺功能亢进。 Objective To analyze the clinical significance of free triodothyronine(FT3),free thyroxine(FT4),thyrotropin(TSH),triodothyronine(T3)and thyroxine(T4)in patients with hyperthyroidism.Methods 50 cases of hyperthyroidism admited to the laboratory from January 2020 to June 2023 were named disease group,and 40 cases of healthy physical examination patients were named healthy group.The levels of FT3,FT4,TSH,T3 and T4 in the two groups were analyzed.To analyze the diagnostic efficacy of FT3,FT4,TSH combined with T3 and T4 in hyperthyroidism.Results Serum FT3,FT4,T3 and T4 levels in healthy group were lower than those in disease group,while serum TSH levels were higher than those in disease group.The positive rate,sensitivity and diagnostic accuracy of FT3,FT4,TSH,T3 and T4 combined detection were higher than those of FT3,FT4 and TSH combined detection and T3 and T4 combined detection(P<0.05).Conclusion The diagnosis based on the levels of FT3,FT4,T TSH,T3 and T4 can effectively determine whether the patient has hyperthyroidism.
作者 王炜燕 Wang Weiyan(Department of Laboyatory,Fenyi Hospital of Traditional Chinese Medicine,Xinyu 336600,China)
出处 《实用医技杂志》 2024年第3期204-207,共4页 Journal of Practical Medical Techniques
关键词 甲状腺功能亢进 甲状腺激素 检测 临床意义 Hyperthyroidism Thyroid hormone Detection Clinical significance
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