沧州高碘地区甲状腺疾病患者甲状腺自身抗体及促甲状腺激素表达分析

Shen Chao, Liu Na, Ji Libin, Guiran Yang
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摘要

目的分析沧州市高碘地区甲状腺疾病患者甲状腺自身抗体和促甲状腺激素表达的差异。方法 共纳入沧州市高碘地区甲状腺疾病患者 90 例,其中甲减患者 30 例,甲状腺肿大患者 30 例,甲状腺癌患者 30 例。同时选取同一地区的 30 名健康患者作为对照。受试者分为四组:甲减组、甲状腺肿大组、甲状腺癌组和对照组。分析四组的 TSH 水平和甲状腺自身抗体水平。结果 与对照组相比,甲状腺功能减退症组、甲状腺肿大组和甲状腺癌组的甲状腺自身抗体水平明显升高(P<0.05);与对照组相比,甲状腺功能减退症组和甲状腺癌组的 TSH 水平升高,甲状腺肿大组的 TSH 水平降低(P<0.05)。结论甲状腺自身抗体和促甲状腺激素在沧州市高碘地区不同类型甲状腺疾病中存在差异表达,可作为不同类型甲状腺疾病鉴别诊断的参考指标。
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Analysis of Thyroid Autoantibodies and Thyroid Stimulating Hormone Expression in Patients with Thyroid Diseases in High Iodine Areas of Cangzhou
Objective: To analyze the differences in the expression of thyroid autoantibodies and thyroid-stimulating hormone in people with thyroid disease in the high iodine area of Cangzhou City. Methods A total of 90 patients with thyroid disease from high iodine area of Cangzhou City were enrolled, including 30 patients with hypothyroidism, 30 patients with goiter and 30 patients with thyroid cancer. A total of 30 healthy patients at the same time and in the same region were selected as the control. The subjects were divided into four groups: hypothyroidism group, Goiter group, Thyroid cancer group, and control group. The TSH levels and thyroid autoantibody levels of the four groups were analyzed. Results Compared with the control group, the levels of thyroid autoantibodies in the hypothyroidism, Goiter group and thyroid cancer group were significantly higher (P<0.05), and compared with the control group, the TSH levels in the hypothyroidism group and the thyroid cancer group were higher, and the TSH levels in the Goiter group were lower (P<0.05). Conclusion: Thyroid autoantibodies and thyroid-stimulating hormone are differentially expressed in different types of thyroid diseases in the high iodine area of Cangzhou City, which can be used as reference indicators for the identification and diagnosis of different types of thyroid diseases.
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