摘要
目的分析陕西省商洛市商州区人民医院检验科测定的甲状腺功能结果,探讨当地甲状腺疾病的发病情况及特点。方法收集2019年1月—7月陕西省商洛市商州区人民医院检验科所做的所有甲状腺功能监测结果(排除同一患者复查结果),回顾分析甲状腺功能亢进症、甲状腺功能减退症的发病率,A-TPO抗体、A-TG抗体表达情况。结果 2 019年1月—7月商州区人民医院共检测甲状腺功能1 273例,其中男性480例,女性793例,TSH>4.5μIU/mL的患者317例,发病率24.90%,TSH>4.5μIU/mL的65岁以上老年患者122例,占甲状腺功能减退症患者的38.49%;TSH>4.5μIU/mL且TPOAb阳性者66例,发病率5.18%,TSH>4.5μIU/mL且TGAb阳性者88例,发病率6.91%,TSH>4.5μIU/mL且TPOAb、TGAb阳性者57例,发病率4.48%。临床甲状腺功能减退患者9例,发病率0.71%;TSH<正常值的48例,发病率3.77%;甲状腺功能正常伴TPOAb升高者76例,发病率5.97%;甲状腺功能正常伴TGAb升高者139例,发病率10.91%。所有检测者中TPOAb阳性者149例,发病率11.7%;TGAb升高者235例,发病率18.46%。结论商州区甲状腺功能减退症和甲状腺功能亢进症的发病率和全国发病率基本相当;65岁以上人群不是甲状腺功能减退症患者的主要发病人群;TGAb和TPOAb阳性率和近年来国内报道相近。
Objective To analyze the thyroid function results measured in the laboratory of people's hospital of Shangzhou district,and to explore the incidence and characteristics of thyroid diseases in the area.Methods All thyroid function monitoring results(excluding the reexamination results of the same patient)were collected from the laboratory department of people's hospital of Shangzhou district from January to July 2019.The incidence of hyperthyroidism,hypothyroidism,a-tpo antibody and a-tg antibody were retrospectively analyzed.Results From January to July 2019,a total of 1273 cases of thyroid function were detected in people's hospital of Shangzhou district,among which 480 cases were males and 793 cases were females.317 cases were TSH>4.5uIU/ml patients,with a incidence of 24.90%.There were 122 elderly patients aged over 65 with TSH greater than 4.5uIU/ml,accounting for 38.49%of the patients with hypothyroidism.There were 66 cases with TSH greater than 4.5uIU/ml and TPOAb positive,with a incidence of 5.18%;88 cases with TSH greater than 4.5uIU/ml and TGAb positive,with a incidence of 6.91%;57 cases with TSH greater than 4.5uIU/ml and TPOAb positive,with a incidence of 4.48%.The incidence of clinical hypothyroidism was 0.71%in 9 cases.TSH was lower than the normal value in 48 cases,with a incidence of 3.77%.The incidence was 5.97%in 76 patients with normal thyroid function and TPOAb elevation,and 10.91%in 139 patients with normal thyroid function and TGAb elevation.Among all the subjects,149 were tpoab-positive,with an incidence of 11.7%,and 235 were TGAb elevated,with an incidence of 18.46%.Conclusion The results of thyroid function monitoring in Shangzhou people's hospital suggest that the incidence of hypothyroidism and hyperthyroidism in Shangzhou is basically the same as that in China.People over 65 years old are not the main patients with hypothyroidism.The positive rates of TGAb and TPOAb were similar to those reported in China in recent years.
作者
张华
张斌柱
杜侃劳
寇少敏
周冬梅
Zhang Hua;Zhang Binzhu;Du Kanlao(The Shangzhou District People's Hospital of Shangluo City,Shangluo,Shaanxi726000)
出处
《基层医学论坛》
2020年第16期2244-2246,共3页
The Medical Forum
作者简介
通讯作者:周冬梅;张华,女,本科,主治医师。
