| 临床甲亢和亚临床甲亢患者血清 Nrg4，TSK水平与血脂、甲状腺激素和基础代谢率的相关性分析 |
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| 引用本文： | 魏 巍a,张 旭a,李婉娇a,宋禹青a,罗 莎a,张 皓b.临床甲亢和亚临床甲亢患者血清 Nrg4，TSK水平与血脂、甲状腺激素和基础代谢率的相关性分析[J].现代检验医学杂志,2022,0(1):38-42. |
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| 作者姓名： | 魏 巍a 张 旭a 李婉娇a 宋禹青a 罗 莎a 张 皓b |
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| 作者单位： | （黑龙江省红十字医院/ 森工总医院a. 内分泌代谢科 ;b. 普外科, 哈尔滨 150040) |
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| 摘 要： | 目的 探讨临床甲状腺功能亢进症（ hyperthyroidism,HT）、亚临床甲状腺功能亢进症（简称亚甲亢）患者血清神经调节蛋白 4（Nrg4）、Tsukushi（TSK）水平与血脂、甲状腺激素、基础代谢率（ basal metabolic rate,BMR）的相关性。方法 纳入黑龙江省红十字（森工总）医院 2018年 12月～ 2020年 12月收治的 HT患者 150例、亚甲亢患者 130例分别作为 HT组、亚甲亢组，选取同期该院体检的健康志愿者 80例作为表观健康组。比较三组血清 Nrg4， TSK水平以及血脂指标 总胆固醇（ TC）、三酰甘油（ TG）、低密度脂蛋白胆固醇（ LDL-C）、高密度脂蛋白胆固醇（HDL-C）]、甲状腺激素指标 TSH、甲状旁腺素（ PTH）、游离甲状腺素（ FT4）、游离三碘甲状腺原氨酸（ FT3）、总三碘甲状腺原氨酸（ TT3），总甲状腺素（ TT4）]和 BMR，分析患者血清 Nrg4，TSK水平与血脂、甲状腺激素、 BMR的相关性，观察血清 Nrg4与 TSK的相关性。结果 HT组血清 Nrg4，TSK，PTH，FT4，FT3，TT3，TT4和 BMR高于亚甲亢组（ t=9.591～ 29.295，均 P＜ 0.05）和表观健康组（ t=11.543～ 26.872，均 P＜ 0.05），而血清 TSH，TC， TG，LDL-C和 HDL-C水平低于亚甲亢组（ t=3.776～ 27.429，均 P＜ 0.05）和表观健康组（ t=3.531～ 17.533，均 P＜ 0.05）,差异均有统计学意义。亚甲亢组血清 Nrg4，TSK水平高于表观健康组（ t=5.277，7.008，均 P＜ 0.05），但 HDL-C， TSH水平低于表观健康组（ t=10.358，28.220，均 P＜ 0.05），差异均有统计学意义。 Pearson线性相关分析提示 HT患者血清 Nrg4，TSK水平与血清 TC，LDL-C，HDL-C和 TSH水平呈负相关（ r=-0.652～ -0.371，均 P＜ 0.05），与血清 PTH，FT4，FT3，TT3，TT4及 BMR呈正相关（ r=0.349～ 0.593，均 P＜ 0.05）；亚甲亢患者血清 Nrg4，TSK水平与 HDL-C，TSH水平呈负相关（ r=-0.615～ -0.489，均 P＜ 0.05）；HT，亚甲亢患者血清 Nrg4与 TSK水平均呈正相关（r=0.581，0.563，均 P＜ 0.05）。结论 针对性别、年龄、吸烟史、饮酒史混杂因素进行校准，并将上述因素剔除后发现 HT，亚甲亢患者血清 Nrg4，TSK水平均增高，且 HT患者的 Nrg4，TSK与血脂、甲状腺激素和 BMR有明显相关性，而亚甲亢患者的 Nrg4，TSK仅与 HDL-C，TSH有关。
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| 关 键 词： | 甲状腺功能亢进症 亚临床甲状腺功能亢进症 神经调节蛋白 4 Tsukushi 血脂 甲状腺激素 基础代谢率 |
Correlation Analysis of Serum Nrg4, TSK Levels with Blood Lipids,Thyroid Hormones and Basal Metabolic Rate in Patientswith Clinical Hyperthyroidism and Subclinical Hyperthyroidism |
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| WEI Weia,ZHANG Xua,LI Wan-jiaoa,SONG Yu-qinga,LUO Shaa,ZHANG Haob.Correlation Analysis of Serum Nrg4, TSK Levels with Blood Lipids,Thyroid Hormones and Basal Metabolic Rate in Patientswith Clinical Hyperthyroidism and Subclinical Hyperthyroidism[J].Journal of Modern Laboratory Medicine,2022,0(1):38-42. |
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| Authors: | WEI Weia ZHANG Xua LI Wan-jiaoa SONG Yu-qinga LUO Shaa ZHANG Haob |
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| Affiliation: | （a.Department of Endocrinology and Metabolism;b. Department of General Surgery,Heilongjiang Red Cross Hospital / Sengong General Hospital， Harbin, 150040，China） |
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| Abstract: | Objective To investigate the correlation between serum neuregulin 4 (Nrg4), tsukushi (TSK) levels and blood lipid,thyroid hormone, basal metabolic rate (BMR) in patients with clinical hyperthyroidism (HT) and subclinical hyperthyroidism(hereinafter referred to as sub hyperthyroidism). Methods A total of 150 HT patients and 130 subthyroidism patients who wereadmitted to Heilongjiang Red Cross Hospital from December 2018 to December 2020 were included as HT group andsubthyroidism group, respectively. 80 healthy volunteers who received physical examination in the hospital during the sameperiod were selected as the apparent health group. The serum Nrg4, TSK levels and blood lipids indexes totalcholesterol (TC), triglyceride(TG), low-density lipoprotein cholesterol(LDL-C), high-density lipoprotein cholesterol(HDL-C)], thyroid hormone indexes thyroid stimulating hormone (TSH) and parathyroid hormone (PTH) and free thyroxine(FT4), free triiodothyronine (FT3), total triiodothyronine 3 (TT3), total thyroxine (TT4)] and BMR in three groups were compared.The correlation between serum Nrg4 and TSK levels and blood lipid, thyroid hormone and BMR was analyzed, and the correlationbetween serum Nrg4 and TSK was observed. Results The serum Nrg4, TSK, PTH, FT4, FT3, TT3, TT4 and BMR in HT groupwere higher than those in subthyroidism group(t=9.591~29.295, all P ＜ 0.05), and apparent health group(t=11.543~26.872, all P＜ 0.05), while the serum TSH, TC, TG, LDL-C and HDL-C levels were lower than those in subthyroidism group(t=3.776~27.429,all P ＜ 0.05), and apparent health group (t=3.531~17.533, all P ＜ 0.05)，the difference were statistically significant, respectively.The serum Nrg4 and TSK levels in subthyroidism group were higher than those in apparent health group(t=5.277, 7.008, all P＜ 0.05), but the HDL-C and TSH levels were lower than those in apparent health group (t=10.358, 28.220, all P ＜ 0.05) ，thedifference were statistically significant, respectively. Pearson linear correlation analysis showed that serum Nrg4, TSK levels werenegatively correlated with serum TC, LDL-C, HDL-C and TSH levels in HT patients(r=-0.652~-0.371, all P ＜ 0.05), andpositively correlated with serum PTH, FT4, FT3, TT3, TT4 and BMR (r=0.349~0.593, all P ＜ 0.05). The serum Nrg4 and TSKlevels were negatively correlated with the HDL-C and TSH levels in subthyroidism patients (r=-0.615~-0.489, all P ＜ 0.05).Serum Nrg4 and TSK levels were positively correlated in HT and subthyroidism patients (r=0.581, 0.563, all P ＜ 0.05).Conclusion The confounding factors such as gender, age, smoking history and drinking history were adjusted. After eliminatingthe above factors, it was found that serum Nrg4 and TSK levels in patients with HT and hypothyroidism were increased, and Nrg4,TSK and blood lipids, thyroid hormones and BMR in HT patients were significantly increased. Correlation, while Nrg4 and TSKin patients with hypothyroidism were only related to HDL-C and TSH. |
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