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上海市纺一医院
Published:01 May 1996
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[1]储绍琳,叶培红,柴鲁华,雷秋芳,宋友斌.TSH/FT_4的对数/线性关系在亚临床甲状腺疾病中的变化[J].核技术,1996(05):289-292.
A Study on subclinical thyroid diseases by Log/Linear relationship of serum TSH/FT4[J]. Nuclear techniques, 1996, (5).
用TSH/FT4的对数/线性关系分析了245例临床甲亢甲减及亚临床甲亢甲减,探讨其对疾病的诊断演变及治疗监测评价。亚甲亢TSH<0.3mU/L,其中89%<0.03mU/L,与正常无重叠;FT4在正常范围内较对照组略高(P<0.001)。亚甲减TSH>5mU/L,平均为13±6.58mU/L;FT4在正常范围内较对照组略低(P<0.001)。TSH/FT4的对数/线性关系图能清楚反映甲状腺各功能状态位置点呈区域性分布,还反映出FT4微小的变化可引起TSH扩大反应形成亚临床疾病的特征性表现。
The Log/Linear relationship of serum TSH/FT4 was analyzed in 245 patients of hypo-and hyperthyroidism including subclinical cases.The serum TSH level was much lower(i.e.<0.3mU/L)and serum FT4 level was within normal limits in patients with subclinical hyperthyroidism.The serum TSH level elevated over 5mU/L and serum FT4 level was within normal limit in patients with subclinical hypothyroidism.The TSH/FT4 Log/Linear relationship mapping can clearly reflect the area distribution of various functional status of different thyroid diseases.Besides
the characteristic manifestation of the subclinical thyroid diseases demonstrated that any subtle changes in serum FT4 level induced the amplified response in serum TSH level.
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