间歇缺氧治疗对女性自身免疫性甲状腺炎治疗的证实

G. A. Ignatenko, E. Maylyan, A. Dubovaya, A. Kaluga, A. N. Goncharov, E. A. Subbotina
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引用次数: 1

摘要

本研究的目的是评估间歇缺氧治疗对女性自身免疫性甲状腺炎(AIT)和甲状腺功能减退的影响。材料和方法。对136名新诊断为AIT和甲状腺功能减退的妇女进行了检查,并将其分为两组。第一组接受左甲状腺素钠激素替代治疗12个月。第二组采用左甲状腺素钠联合间歇缺氧治疗。结果。在新诊断为AIT和甲状腺功能减退的妇女中,左旋甲状腺素钠治疗与甲状腺过氧化物酶自身抗体血清含量的进一步增加相关(p < 0.001)。联合缺氧治疗组自身抗体值低于左甲状腺素钠单药治疗组(p < 0.05)。此外,左甲状腺素钠治疗的特点是药物需求增加(p < 0.001)。在AIT中补充低氧治疗使药物剂量稳定。结论。为了提高女性自身免疫性甲状腺炎和甲状腺功能减退的治疗效果,左旋甲状腺素钠与常压缺氧治疗(每3个月10天)相结合是合适的。
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Substantiation of interval hypoxic therapy for autoimmune thyroiditis treatment in women
The purpose of the study was to evaluate the effects of interval hypoxic therapy in women with autoimmune thyroiditis (AIT) and hypothyroidism. Material and methods. 136 women with newly diagnosed AIT and hypothyroidism were examined and divided into two equal groups. The first group received hormonal replacement therapy with levothyroxine sodium for 12 months. The second group received levothyroxine sodium in combination with interval hypoxic therapy. Results. Levothyroxine sodium therapy in women with newly diagnosed AIT and hypothyroidism was associated with a further increase in the thyroperoxidase autoantibodies blood serum content (p < 0.001). The combination with hypoxic therapy led to the lower autoantibodies values than levothyroxine sodium monotherapy (p < 0.05). In addition, therapy with levothyroxine sodium was characterized by an increased need for medications (p < 0.001). Hypoxic therapy supplementation in AIT provided the medication dose stabilization. Conclusions. It is appropriate to combine levothyroxine sodium with normobaric hypoxic therapy sessions (every 3 months for 10 days) in order to improve the effectiveness of autoimmune thyroiditis and hypothyroidism treatment in women.
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