甲状腺功能5项指标联合检测对甲状腺功能的评价

目的探讨FT3、FT4、TSH与T3、T4联合检测评价甲状腺功能临床意义。方法选取43例甲状腺功能亢进患者,31例甲状腺功能减退患者和60例健康查体者,比较FT3、FT4、TSH与T3、T4水平。结果甲亢组血清FT3、FT4、T3、T4水平明显高于健康组,TSH水平低于健康组,甲减组血清FT3、FT4、T3、T4水平明显低于健康组,TSH水平高于健康组(P<0.05),三组各指标诊断符合率差异无统计学意义(P>0.05)。结论 FT4、FT3、TSH与T4、T3联合检测,对甲状腺功能异常的鉴别、诊断和判断预后具有重要作用,可用于临床用药的指导。

Evaluation of 5 indexes combination detection on evaluation of thyroid function

Objective To explore the clinical significance of combination detection of FT3,FT4,TSH and T3,T4 for evaluation of thyroid function.Methods 43 cases of hyperthyroidism,31 cases of hypothyroidism and 60 persons for healthy physical examination were selected and detected FT3,FT4,TSH and T3,T4 levels for comparison.Results Serum FT3,FT4,T3 and T4 levels in the hyperthyroid group were significantly higher than those in the healthy group,and the TSH level was lower than that in the healthy group.Serum FT3,FT4,T3 and T4 levels in the hypothyroidism group were significantly lower than those in the healthy group,and the TSH level was higher than that in the healthy group（P0.05）.The diagnosis coincidence rate of each detection index among three groups had no statistical difference（P0.05）.Conclusion The combination detection of FT4,FT3,TSH and T4,T3 plays an important role in the differential diagnosis,diagnosis and prognosis judgment of abnormal thyroid function,which can be used for guiding clinical medication.