期刊导航

论文摘要

亚临床甲状腺功能减退症与骨密度及骨代谢指标的相关性研究

Changes of Bone Mineral Density and Bone Metabolic Marker in Patients with Subclinical Hypothyroidism

作者:梁利波, 王佑娟, 张玫等

Author:LIANG Li-bo, WANG You-juan, ZHANG Mei. et al

收稿日期:          年卷(期)页码:2014,45(1):66-69

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:亚临床甲状腺功能减退 骨密度 骨代谢 促甲状腺激素 绝经

Key words:Subclinical hypothyroidism Bone density Bone metabolism Thyroid stimulating hormone Menopause

基金项目:

中文摘要

目的 观察亚临床甲状腺功能减退患者骨密度及骨代谢指标的变化,探讨甲状腺功能对骨密度及骨代谢指标的影响。方法 纳入符合亚临床甲状腺功能减退症标准的患者122例(亚临床甲减组),应用双能X线测定仪(DEXA)检测其骨密度(BMD),并检测其血清游离三碘甲状腺原氨酸(FT3),游离甲状腺素(FT4),促甲状腺素(TSH),血钙(Ca)、血磷(P)、碱性磷酸酶(ALP),按性别、绝经情况分层,同时纳入与其年龄和性别相匹配的健康志愿者153例(对照组),比较两组间骨密度及骨代谢指标的差异。结果 亚临床甲减组骨量丢失高于对照组(PPPPP>0.05)。亚临床甲减组ALP较对照组差异均无统计学意义(P>0.05)。多元线性回归分析, 性别(B=0.543,PB=-0.274,P=0.001),年龄(B=-0.161,PB=-0.108,P

英文摘要

Objective?To investigate the change of bone mineral density and bone metabolism biochemical markers in subclinical hypothyroidism. Methods?This study included total 122 patients with subclinical hypothyroidism and 153 healthy age and gender matched people as control. All the patients and controls were subjected to the measurements of bone density by dual energy X-ray absorptiometry (DEXA), and serum free triiodothyronine (FT3), free thyroxine (FT4),thyroid stimulating hormone (TSH), Ca2+, PO43+, alkaline phosphatase (ALP) levels. All the data was analyzed statistically with the stratification of gender and menopause status. Results?Compared to the control, the patients with subclinical hypothyroidism had significantly higher incidence of bone mass loss (P2+ (P3+, T-value and Z-value (PP3+ was found either in pre-menopause or post-menopause women when compared to the control. Multiple linear regression analysis showed gender (B=0.543,PB=-0.274,P=0.001), age (B=-0.161,PB=-0.108,P

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