降钙素对甲状腺功能减退患者生活质量的影响-一项初步研究

Wedad Rahman , Simona Stefan , Amiya Ahmed , Muhammad Siddiqi , Rana Malek , Elizabeth M. Lamos , Kashif M. Munir
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引用次数: 0

摘要

甲状腺功能减退是一种非常常见的内分泌疾病,常规左甲状腺素替代疗法治疗。尽管治疗生化甲状腺功能亢进,一些人继续有甲状腺功能减退相关症状。许多甲状腺功能减退症患者的降钙素水平也很低。我们的目的是评估降钙素治疗对接受左甲状腺素治疗的甲状腺功能减退患者生活质量的影响。方法对成人甲状腺功能低下患者给予降钙素鼻喷雾剂,每日200国际单位,连用6周。参与者在开始降钙素治疗前和完成6周治疗后完成了一份修改后的希望之城生活质量问卷。还评估了降钙素对生活质量的益处。结果降钙素组患者生活质量评分从184.77分提高至148.44分(p = 0.342),差异无统计学意义。此外,只有一个人认为降钙素治疗有任何好处。结论左旋甲状腺素替代治疗的甲状腺功能减退患者鼻用降钙素喷雾剂治疗不能提高患者的生活质量。
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The effects of calcitonin on quality of life in hypothyroid patients – A pilot study

Introduction

Hypothyroidism is a very common endocrine disorder routinely treated with levothyroxine replacement therapy. Despite treatment to biochemical euthyroidism, some individuals continue to have hypothyroidism-related symptoms. Many individuals with hypothyroidism also have low levels of calcitonin. Our aim was to evaluate the effects of calcitonin treatment on quality of life in hypothyroid individuals treated with levothyroxine.

Methods

Adult, hypothyroid individuals were treated with nasal calcitonin spray, 200 international units daily for 6 weeks. Participants completed a modified City of Hope Quality of Life questionnaire prior to initiating calcitonin and after completing 6 weeks of therapy. Perception of quality-of-life benefit with calcitonin was also assessed.

Results

Improvements in quality-of-life scores with calcitonin treatment from 184.77 to 148.44 (p = 0.342) were not statistically significant. Also, only one individual perceived any benefit with calcitonin therapy.

Conclusion

Treatment with nasal calcitonin spray in individuals with hypothyroidism on levothyroxine replacement therapy did not result in quality-of-life benefit.

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来源期刊
Endocrine and Metabolic Science
Endocrine and Metabolic Science Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.80
自引率
0.00%
发文量
4
审稿时长
84 days
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