CAJ | 학술논문

目的：探讨甲状腺自身抗体阳性甲亢病的131I治疗与甲减关系。方法选取我院200例确诊为甲亢病且使用131I治疗的患者，根据其甲状腺自身抗体的阳性、阴性，分为观察组（112例）和对照组（88例），观察和比较两组患者在使用131I治疗后的效果。结果观察组患者在131I治疗后的不同时期，治愈率均高于对照组，但是观察组患者在治疗后甲减的出现率明显比对照组高（P＜0.005）。结论在使用131I治疗时，对甲状腺自身抗体阳性的甲亢病患者，需要减少用量。增加对甲亢病患者的甲状腺自身抗体的常规检查，以降低甲减的发生率。
목적：탐토갑상선자신항체양성갑항병적131I치료여갑감관계。방법선취아원200례학진위갑항병차사용131I치료적환자，근거기갑상선자신항체적양성、음성，분위관찰조（112례）화대조조（88례），관찰화비교량조환자재사용131I치료후적효과。결과관찰조환자재131I치료후적불동시기，치유솔균고우대조조，단시관찰조환자재치료후갑감적출현솔명현비대조조고（P＜0.005）。결론재사용131I치료시，대갑상선자신항체양성적갑항병환자，수요감소용량。증가대갑항병환자적갑상선자신항체적상규검사，이강저갑감적발생솔。
ObjectiveTo investigate the effect of positive thyroid autoantibodies of hyperthyroidism and hypothyroidism treated with131I. Methods 200 cases in our hospital were diagnosed as hyperthyroidism disease and treated with131 I, according to the positive, negative thyroid autoantibodies, divided into the observation group (112 cases) and control group (88 cases), observed and compared the two groups of therapeutic effect.ResultsThe observation group patients in different period after treatment, the cure rate was higher than that of control group, but in the observation group were seen after treatment of hypothyroidism was significantly higher than the control group (P<0.005).Conclusion The use of131 I therapy on thyroid autoantibodies positive hyperthyroidism patients, we need to reduce the amount. Increase the routine examination of hyperthyroidism in patients with thyroid autoantibodies in order to reduce the incidence of hypothyroidism.