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干扰素治疗慢性肝炎对甲状腺功能影响的实验室分析
引用本文:刘艳辉. 干扰素治疗慢性肝炎对甲状腺功能影响的实验室分析[J]. 临床和实验医学杂志, 2012, 11(7): 505-506
作者姓名:刘艳辉
作者单位:通辽市传染病医院检验科,内蒙古,通辽,028000
摘    要:目的研究慢性肝炎患者使用干扰素(IFN)治疗对甲状腺功能的影响。方法检测276例慢性肝炎患者接受IFN治疗前以及治疗后每3个月的血清中三碘甲状腺原氨酸(T3)、游离三碘甲状腺原氨酸(FT3)、甲状腺素(T4)、游离甲状腺素(FT4)、促甲状腺素(TSH),采用微粒子化学发光法,并收集患者临床资料,分析甲状腺疾病发生情况及其对病情的影响。结果 276例慢性肝炎干扰素治疗后24例出现甲状腺疾病,其中8例甲状腺功能亢进,16例甲状腺功能减低。其中丙肝患者甲状腺疾病发生情况较乙肝多,女性慢性肝炎患者甲状腺疾病的发生情况比男性多。结论慢性肝炎患者应用IFN治疗后存在甲状腺功能的异常,但均不影响干扰素的继续治疗。

关 键 词:慢性肝炎  干扰素  甲状腺功能  实验室分析

Laboratory analysis of the influence of interferon treatment on thyroid function in patients with chronic hepatitis
LIU Yan-hui. Laboratory analysis of the influence of interferon treatment on thyroid function in patients with chronic hepatitis[J]. Journal of Clinical and Experimental Medicine, 2012, 11(7): 505-506
Authors:LIU Yan-hui
Affiliation:LIU Yan-hui.Department of Clinical Laboratory,Infectious Diseases Hospital of Tongliao,Tongliao Inner Mongolia 028000,China
Abstract:Objective To investigate thyroid function changes in patients with chronic hepatitis after treatment with interferon.Methods Serum triiodothyronine(T3),free triiodothyronine(FT3),thyroxine(T4),free thyroxine(FT4),and thyroid-stimulating hormone(TSH) were measured with chemiluminescent microparticle immunoassay in 276 chronic hepatitis patients before and after interferon treatment at every 3 months interval.The impact of interferon on thyroid function was analyzed.Results Thyroid diseases occurred in 24 of 276 patients including hyperthyroidism in 8 patients and hypothyroidism in 16 patients.Conclusion Thyroid function abnormalities occur after interferon treatment in patients with chronic hepatitis,but the abnormalities do not affect the continuation of interferon therapy.
Keywords:Chronic hepatitis  Interferon  Thyroid function  Laboratory analysis
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