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中国临床研究:2018,31(9):1247-1249
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不同甲状腺功能状态与肾功能之间的相关性
(南通大学附属南京江北人民医院内分泌科,江苏 南京 210048)
Correlation between thyroid function and renal function
(Department of Endocrinology, Nanjing Jiangbei People's Hospital Affiliated to Nantong University, Nanjing, Jiangsu 210048, China)
摘要
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投稿时间:2018-03-16   网络发布日期:2018-09-20
中文摘要: 目的 通过对不同甲状腺功能状态患者的甲状腺激素水平及肾功能进行分析,以探讨甲状腺功能与肾功能之间的相互关系。方法 从2015年1月至2017年5月就诊及体检人群中筛选出甲亢患者60例、甲减患者62例、健康人群59例,分别检测各组的甲状腺功能、肾功能,计算其预估的肾小球滤过率(eGFR),并进行统计学分析。结果 与对照组比较,甲状腺功能亢进组的eGFR显著升高,甲状腺功能减退组的eGFR显著降低(P<0.01),且eGFR与促甲状腺激素呈显著负相关(P<0.01),与游离三碘甲状原氨酸呈显著的正相关(P<0.01),而与游离甲状腺素则无明显相关性(P>0.05)。结论 甲状腺功能与肾功能之间密切相关,甲状腺激素水平的异常可显著影响患者的肾功能,常规对甲状腺功能异常患者的肾功能进行监测具有一定的临床意义。
Abstract:Objective To investigate the correlation between thyroid function and renal function by way of the detection of thyroid hormone levels and renal function in patients with different thyroid function status. Methods From January 2015 to May 2017, 60 patients with hyperthyroidism (hyperthyroidism group), 62 patients with hypothyroidism (hypothyroidism group) and 59 healthy people (control group) were selected from people received medical treatment or physical examination. The thyroid function and renal function were detected and estimated glomerular filtration rate (eGFR) was calculated in two groups. Results Compared with control group, eGFR was higher in hyperthyroidism group and it was lower in hypothyroidism group (P<0. 01). There was a significant negative correlation between eGFR and thyroid-stimulating hormone (TSH) (P<0. 01), and a significant positive correlation with free triiodothyronine (FT3) (P< 0.01), but no significant correlation with FT4 (P>0. 05). Conclusion Thyroid function could be closely related to the renal function. The abnormal thyroid hormone level could significantly affect the renal function of the patients. It is of certain clinical significance to monitor the renal function of patients with abnormal thyroid function.
文章编号:     中图分类号:R 581    文献标志码:B
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引用文本:
徐海波,王坤林,宰国田.不同甲状腺功能状态与肾功能之间的相关性[J].中国临床研究,2018,31(9):1247-1249.

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