2013年至2015年哥伦比亚麦德林一家医院内分泌科甲状腺功能亢进症和甲状腺功能减退症患者的临床和流行病学概况

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Archivos de Medicina Pub Date : 2017-12-06 DOI:10.30554/ARCHMED.17.2.1920.2017
L. Sánchez, Paula Andrea Velásquez Viveros, Felipe Osorio Ospina, Sergio Ramírez Pulgarín, L. I. J. Jaramillo, J. Valencia, M. A. R. Gázquez
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引用次数: 1

摘要

目的:了解2013 - 2015年在哥伦比亚麦德林某医疗机构接受内分泌科服务的甲亢和甲亢患者的流行病学特征。材料与方法:对诊断为甲状腺功能亢进或甲状腺功能减退的患者进行描述性、回顾性研究。采用IBM SPSS 19.0版软件,采用绝对频率和绝对比例的描述性统计方法进行单因素分析。结果:本组149例患者中,甲状腺功能减退131例,甲状腺功能亢进18例,平均年龄分别为57,8±17.8岁和48,2±15.1岁。女性甲状腺功能减退患者的发生率高于甲状腺功能亢进患者(86.3%对66.7%)。术后甲状腺功能减退的发生率较高,为11.5%,其次为桥本病,为5.3%。甲状腺机能亢进的主要病因为Graves病33.3%和甲状腺毒症22.2%。与研究患者的体征和常见症状相关,甲状腺肿在甲状腺功能减退患者中常见的比例为14.5%,而在甲状腺功能亢进患者中则为38.9%。两组患者既往病史最常见病均为高血压和糖尿病。结论:本研究结果与文献资料一致,甲状腺病变多见于女性;甲状腺功能减退和甲亢的主要病因分别为手术和Graves病。
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Perfil clínico y epidemiológico de pacientes atendidos por hipertiroidismo e hipotiroidismo en el servicio de endocrinología de una institución hospitalaria de Medellín (Colombia) entre 2013 y 2015
Objective: Determine the epidemiological profile of hyperthyroid and hypothyroid patients that receive endocrinological services from a medical institution in Medellin (Colombia) between 2013 and 2015. Materials and Methods: A descriptive, retrospective study was conducted and included the clinical records of patients diagnosed with hyperthyroidism or hypothyroidism. A univariate analysis was applied using descriptive statistics by means of absolute frequencies and proportions in the IBM SPSS software, version 19.0. Results: A sample of 149 patients was obtained 131 patients with hypothyroidism and 18 with hyperthyroidism, the average age was 57,8±17,8 years and 48,2±15,1 years, respectively. The frequency of female sex with hypothyroidism was greater than those patients with hyperthyroidism (86,3% versus 66,7%). Post-surgery hypothyroidism had a high prevalence 11,5% followed by the Hashimoto disease 5,3%. The principal etiologies in hyperthyroidism were Graves disease 33,3% and thyrotoxicosis 22,2%. With relation to the signs and frequent symptoms in the studied patients, the goiter was common in 14,5% of the patients with hypothyroidism versus 38,9% of those patients with hyperthyroidism. The most frequent diseases on past medical history in both groups of patients were high blood pressure and Diabetes Mellitus. Conclusion: The results of the present study are in agreement with the information existing in the literature, the presentation of thyroid pathologies is more common in the female sex; and the main etiology is surgery and Graves' disease for hypo and hyperthyroidism respectively.
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Archivos de Medicina
Archivos de Medicina MEDICINE, GENERAL & INTERNAL-
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期刊介绍: Para el desarrollo científico no sólo es necesario una constante labor investigadora, sino también una labor integradora y crítica de todos los resultados alcanzados en relación con un tema determinado que permita generar verdadero conocimiento sobre el mismo. Por otro lado, el crecimiento de la producción científica obliga a los profesionales sanitarios a constantes esfuerzos por mantenerse "al día" en cualquier disciplina de la medicina. Con esta doble función de integrar conocimientos y facilitar su difusión, nace Archivos de Medicina.
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