中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
4期
591-592
,共2页
儿童肾小球疾病%肾功能%甲状腺功能
兒童腎小毬疾病%腎功能%甲狀腺功能
인동신소구질병%신공능%갑상선공능
Children glomerular diseases%Renal function%Thyroid function
目的:探讨和分析肾小球疾病患儿的肾功能与甲状腺功能的临床关系.方法:80例肾小球疾病患儿随机分为2组,检测2组患儿血清T3、T4、FT4I、TSH、Cr以及BUN浓度.结果: Cr、BUN与T3、T4、FT4I呈显著的负相关,随Cr、BUN升高,T3、T4、FT4I均呈降低趋势;肾功能正常组患者中,16例T3下降T4正常,6例T4下降T3正常,无T3、T4同时下降者,经相应的治疗和干预,所有患者均恢复正常;肾功能衰竭患者中,T3、T4、FT4I均下降,有8例患者T3、T4、FT4I同时下降.结论:动态监测肾小球疾病患儿的甲状腺激素水平的变化情况,对估计患儿病情和监测预后有着十分重要的临床价值.
目的:探討和分析腎小毬疾病患兒的腎功能與甲狀腺功能的臨床關繫.方法:80例腎小毬疾病患兒隨機分為2組,檢測2組患兒血清T3、T4、FT4I、TSH、Cr以及BUN濃度.結果: Cr、BUN與T3、T4、FT4I呈顯著的負相關,隨Cr、BUN升高,T3、T4、FT4I均呈降低趨勢;腎功能正常組患者中,16例T3下降T4正常,6例T4下降T3正常,無T3、T4同時下降者,經相應的治療和榦預,所有患者均恢複正常;腎功能衰竭患者中,T3、T4、FT4I均下降,有8例患者T3、T4、FT4I同時下降.結論:動態鑑測腎小毬疾病患兒的甲狀腺激素水平的變化情況,對估計患兒病情和鑑測預後有著十分重要的臨床價值.
목적:탐토화분석신소구질병환인적신공능여갑상선공능적림상관계.방법:80례신소구질병환인수궤분위2조,검측2조환인혈청T3、T4、FT4I、TSH、Cr이급BUN농도.결과: Cr、BUN여T3、T4、FT4I정현저적부상관,수Cr、BUN승고,T3、T4、FT4I균정강저추세;신공능정상조환자중,16례T3하강T4정상,6례T4하강T3정상,무T3、T4동시하강자,경상응적치료화간예,소유환자균회복정상;신공능쇠갈환자중,T3、T4、FT4I균하강,유8례환자T3、T4、FT4I동시하강.결론:동태감측신소구질병환인적갑상선격소수평적변화정황,대고계환인병정화감측예후유착십분중요적림상개치.
@@@@Objective:To explore the relationship of renal and thyroid function for children with glomerular disease. Methods:80 patients with glomerular disease were divided into normal renal function group and chronic renal failure group. Cr, BUN, T3, T4, FT4I and TSH was measured by radioimmunoassay and made linear regression analysis. Results:Cr, BUN and T3, T4, FT4I was significantly negatively correlated with Cr, BUN elevated, T3, T4, FT4I had a decreasing trend. Cr, BUN and TSH had no significant correlation. The more severe renal damage was, the lower the level of thyroid hormone was. Conclusion:The dynamic monitoring of thyroid hormone levels in children with glomerular disease had important clinical value for estimating the prognosis and in the treatment of renal disease.