代谢综合征患者甲状腺功能障碍的研究

M. Saeed
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引用次数: 0

摘要

为了了解甲状腺激素水平与代谢综合征之间的关系,我们进行了几项回顾性研究,根据研究结果,建议在所有患者以及所有有心血管疾病发生风险的患者:肥胖、血脂异常、动脉高血压、高同型半胱氨酸血症和吸烟的患者中检测垂体tsh水平。遗传因素,2型糖尿病。同样重要的是患者的治疗策略问题,根据目前的建议,对于tsh水平升高超过10 μm / l的患者,应指定甲状腺激素制剂。将甲状腺素分配到tsh的边界水平仍然是一个有争议的问题。大多数作者认为手术心肌血运重建、持续他汀类药物治疗和小剂量甲状腺素矫正亚临床甲状腺功能减退是理想的tsh值。最合适的是早期发现亚临床甲状腺功能减退的患者,并纠正与甲状腺激素制剂确定的疾病。研究表明,亚临床甲状腺功能减退是另一个独立的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Studying of Thyroid Dysfunction on Patients with Metabolic Syndrome
A retrospective study was conducted several studies aimed at knowing the relationship between the level of thyroid hormone and the metabolic syndrome and according to the results of the study, it is recommended to determine the level of tsh hormone in the pituitary gland in all patients as well as in all patients with risks of developing cardiovascular diseases: in patients who they suffer from obesity, dyslipidemia, arterial hypertension, hyperhomocysteinemia, and tobacco smoking., hereditary factor, diabetes mellitus type 2. No less important is the issue of treatment tactics in patients and in accordance with current recommendations, the appointment of thyroid hormone preparations is indicated for patients with an increase in the level of tsh more than 10 μm / l. The assignment of thyroxine to the boundary level of tsh is still a matter of debate. Most authors consider surgical myocardial revascularization, continuous statin therapy, and correction of subclinical hypothyroidism with small doses of thyroxine to normal tsh values as ideal. The most appropriate is the early detection of subclinical hypothyroidism in patients and correction of disorders identified with thyroid hormone preparations. The study showed that subclinical hypothyroidism is an additional independent risk factor.
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