甲状腺激素紊乱与肾功能障碍的关系

Mushir Ahmad, A. Sharma, S. Iqbal, S. Nagtilak, Naved Ahmad
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引用次数: 1

摘要

背景:甲状腺激素具有广泛的代谢功能。甲状腺疾病与肾功能的关系在临床上最初描述是微妙的。有研究表明,甲状腺疾病患者可能与肾脏疾病的风险增加有关。目的:为了了解甲状腺疾病对肾功能和碳水化合物代谢的影响,我们评估并比较了甲状腺功能障碍患者和甲状腺功能正常者的血糖、血清尿素和血清肌酐水平以及T3、T4和TSH水平。材料与方法:对78例新诊断的甲状腺疾病患者和78例年龄和性别匹配的健康对照进行病例对照研究,年龄在18 ~ 59岁之间。结果:TSH与血清肌酐水平呈显著正相关(p<0.001), TSH与血清尿素水平、TSH与血糖水平呈显著正相关(p<0.001)。结论:本研究表明空腹血糖水平、肌酐水平与甲状腺疾病之间存在明显的联系。甲状腺疾病中肾功能不全的发生率需要更大规模的流行病学研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between thyroid hormone disorders and renal dysfunction
Background: Thyroid hormones perform a wide range of metabolic functions. Relationship between thyroid diseases and kidney function initially described were clinically subtle. It has been suggested that patients of thyroid disorder can be associated with increased risk of renal diseases. Aims and Objectives: To understand the effects of thyroid disorders on renal function and carbohydrate metabolism, we estimated and compared blood sugar, serum urea and serum creatinine levels with T3, T4 and TSH in thyroid dysfunction patients and euthyroid subjects. Materials and Method: Case control study was done on 78 newly diagnosed thyroid disorder cases and 78 age and sex matched healthy controls, attending medicine OPD within the age group of 18 to 59 years. Result: There is significant positive correlation between TSH and serum creatinine levels with p<0.001, and there is positive correlation between TSH and serum urea levels and also with TSH and blood sugar levels. Conclusion: It is evident from the study that there is an association between fasting blood glucose levels, creatinine levels and  thyroid disorder. Larger epidemiological research is required to find out the incidence of renal dysfunction in thyroid disorders.
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