甲状腺功能减退症女性血脂、尿酸和空腹血糖水平改变的相关性

Koley Satyajit, Sur Arindam
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引用次数: 3

摘要

简介:甲状腺功能减退症是一种常见的内分泌疾病,甲状腺不能产生足够的甲状腺激素。该病主要发生于女性,发病率随年龄增长而上升。甲状腺功能减退可能是血脂异常和血糖水平改变的潜在原因,因为甲状腺激素在脂质和碳水化合物代谢中起关键作用。它还有助于肾脏的生长和发育;因此,甲状腺功能减退可能由于肾小管尿酸分泌的改变而改变血清尿酸水平。目的和目的:评价女性血脂参数、尿酸、空腹血糖与甲状腺参数之间是否存在显著相关性。方法:选取35例患者和35例对照组(年龄在20 ~ 45岁之间),采用ELISA法测定血清TSH、FT4水平,采用随机自动分析仪化学法测定总胆固醇、甘油三酯、LDL-c、HDL-c、VLDL-c、尿酸和空腹血糖水平。结果:与对照组相比,病例TSH、FT4与TC、TG、LDL-C、VLDL-C呈正相关或负相关,而HDL-C、UA、FPG与甲状腺功能减退参数均无正相关或负相关。结论:甲状腺功能减退与血脂异常有关。因此,脂质谱的早期生物筛查可以在这些患者中进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation of Altered Lipid Profile, Uric Acid and Fasting Plasma Glucose Levels in Females with Hypothyroidism
Introduction: Hypothyroidism is a common endocrinal disorder in which thyroid gland does not produce enough thyroid hormones. The disease mainly occurs in female and its prevalence rises with age. Hypothyroidism may be the underlying cause of dyslipidemia and alteration of plasma glucose levels as thyroid hormones plays a key role in lipid and carbohydrate metabolism. It also helps in the growth and development of kidney; hence hypothyroidism may alter the uric acid level in serum due to altered secretion of uric acid at renal tubules. Aims and Objectives: To evaluate if there is any significant correlation between lipid parameters, uric acid, fasting plasma glucose with thyroid parameters in female. Methodology: We included 35 cases and 35 controls (Aged between 20-45 years) and estimated their serum TSH, FT4 by ELISA method and total cholesterol, triglycerides, LDL-c, HDL-c, VLDL-c, uric acid and fasting plasma glucose levels by chemical methods using random access auto-analyzer. Results: Results showing positive and negative correlation of TSH and FT4 with TC, TG, LDL-C and VLDL-C in cases compared to controls, whereas, HDL-C, UA and FPG didn’t show any positive/negative correlation with hypothyroid parameters in either cases or controls. Conclusion: Hypothyroid status is associated with dyslipidemia. So, earlier biological screening for lipid profile can be done in those patients.
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