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SCH患者 TSH 水平变化与动脉粥样硬化相关因子的关系研究

张丽 罗荔 王晨菲 张春雪 陆春晖 李晓岚

检验医学与临床2016,Vol.13Issue(15):2111-2113,3.
检验医学与临床2016,Vol.13Issue(15):2111-2113,3.DOI:10.3969/j.issn.1672-9455.2016.15.015

SCH患者 TSH 水平变化与动脉粥样硬化相关因子的关系研究

Relationship between TSH level change and atherosclerosis related factors in patients with SCH

张丽 1罗荔 1王晨菲 1张春雪 1陆春晖 1李晓岚1

作者信息

  • 1. 新疆医科大学第五附属医院内分泌科,乌鲁木齐830011
  • 折叠

摘要

Abstract

Objective To investigate the relation between the change of serum thyroid stimulating hormone(TSH) level and ath‐erosclerosis related factors in the patients with subclinical hypothyroidism (SCH) .Methods Totally 100 cases of SCH in our hos‐pital were selected as the research subjects and divided into the mild SCH group (TSH :5 .5 -10 .0 mU/L ,58 cases) and severe SCH group (TSH>10 .0 mU/L ,42 cases) ,40 individuals undergoing the physical examination in the outpatient department were selected as the control group .TSH ,carotid intima‐media thickness (CIMT) and other indicators were detected and the detection re‐sults were compared among 3 groups .Results The detection values of MAP ,TG ,FT3 ,FT4 ,TNF‐αmeasured values had no statis‐tically significant differences among 3 groups (P>0 .05);the detection values of TC ,LDL‐C ,CRP and CIM T in the mild and severe SCH groups were significantly higher than those in the control group (P<0 .05) ,while the HDL‐C detection value was significant‐ly lower than that in the control group ,and the differences were statistically significant (P<0 .05);the detection values of LDL‐C , CRP and CIMT in the severe SCH group were significantly higher than those in the mild SCH group ,and the difference was statis‐tically significant (P<0 .05);serum TSH level in SCH patients was positively correlated with TC ,LDL‐C and CIMT (P<0 .05) , and negatively correlated with the HDL‐C level (P<0 .05) .Conclusion The patients with SCH show abnormal lipid metabolism and inflammation ,and these factors may lead to the occurrence and development of atherosclerosis .

关键词

亚临床甲状腺功能减退/促甲状腺激素/动脉粥样硬化

Key words

subclinical hypothyroidism/thyroid stimulating hormone/atherosclerosis

引用本文复制引用

张丽,罗荔,王晨菲,张春雪,陆春晖,李晓岚..SCH患者 TSH 水平变化与动脉粥样硬化相关因子的关系研究[J].检验医学与临床,2016,13(15):2111-2113,3.

基金项目

新疆维吾尔自治区自然科学基金面上项目(2015211C175)。 ()

检验医学与临床

1672-9455

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