中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
36期
20-21
,共2页
边德志%钱晓娟%李政%刘艳梅
邊德誌%錢曉娟%李政%劉豔梅
변덕지%전효연%리정%류염매
硒酵母%优甲乐%桥本甲状腺炎%甲状腺功能减退
硒酵母%優甲樂%橋本甲狀腺炎%甲狀腺功能減退
서효모%우갑악%교본갑상선염%갑상선공능감퇴
Selenium yeast%Euthyrox%Hashimoto's thyroiditis%Hypothyroidism
目的：探讨硒酵母辅助优甲乐在改善桥本甲状腺炎中甲状腺功能减退的具体临床效果。方法选取于2012年6—10月在该院治疗的桥本甲状腺炎中甲状腺功能减退患者79例，根据治疗方法分为硒酵母辅助优甲乐治疗的治疗组39例与常规治疗的对照组40例。比较两组治疗前后甲状腺功能改善水平相关指标。结果治疗组患者的甲状腺FT3，FT4水平（6.2±1.4)pmol/L，（17.5±5.2)pmol/L高于对照组（2.5±0.6) pmol/L，（7.9±1.9)pmol/L，而TSH水平（9.6±1.7)mIU/L)低于对照组（64.2±6.9)mIU/L，两组间比较差异有统计学意义（P<0.05)；两组患者血清甲状腺自身抗体TG-Ab、TPO-Ab水平治疗后，治疗组（346.37±147.56)IU/mL，（377.81±173.63)IU/mL，对照组（873.58±189.21)IU/ml，（974.84±178.07)IU/mL，均较治疗前明显降低，但治疗组与对照组相比明显降低，差异有统计学意义（P<0.05)。结论硒酵母辅助优甲乐在改善桥本甲状腺炎中甲状腺功能减退的效果明显，有助于改善患者病情。
目的：探討硒酵母輔助優甲樂在改善橋本甲狀腺炎中甲狀腺功能減退的具體臨床效果。方法選取于2012年6—10月在該院治療的橋本甲狀腺炎中甲狀腺功能減退患者79例，根據治療方法分為硒酵母輔助優甲樂治療的治療組39例與常規治療的對照組40例。比較兩組治療前後甲狀腺功能改善水平相關指標。結果治療組患者的甲狀腺FT3，FT4水平（6.2±1.4)pmol/L，（17.5±5.2)pmol/L高于對照組（2.5±0.6) pmol/L，（7.9±1.9)pmol/L，而TSH水平（9.6±1.7)mIU/L)低于對照組（64.2±6.9)mIU/L，兩組間比較差異有統計學意義（P<0.05)；兩組患者血清甲狀腺自身抗體TG-Ab、TPO-Ab水平治療後，治療組（346.37±147.56)IU/mL，（377.81±173.63)IU/mL，對照組（873.58±189.21)IU/ml，（974.84±178.07)IU/mL，均較治療前明顯降低，但治療組與對照組相比明顯降低，差異有統計學意義（P<0.05)。結論硒酵母輔助優甲樂在改善橋本甲狀腺炎中甲狀腺功能減退的效果明顯，有助于改善患者病情。
목적：탐토서효모보조우갑악재개선교본갑상선염중갑상선공능감퇴적구체림상효과。방법선취우2012년6—10월재해원치료적교본갑상선염중갑상선공능감퇴환자79례，근거치료방법분위서효모보조우갑악치료적치료조39례여상규치료적대조조40례。비교량조치료전후갑상선공능개선수평상관지표。결과치료조환자적갑상선FT3，FT4수평（6.2±1.4)pmol/L，（17.5±5.2)pmol/L고우대조조（2.5±0.6) pmol/L，（7.9±1.9)pmol/L，이TSH수평（9.6±1.7)mIU/L)저우대조조（64.2±6.9)mIU/L，량조간비교차이유통계학의의（P<0.05)；량조환자혈청갑상선자신항체TG-Ab、TPO-Ab수평치료후，치료조（346.37±147.56)IU/mL，（377.81±173.63)IU/mL，대조조（873.58±189.21)IU/ml，（974.84±178.07)IU/mL，균교치료전명현강저，단치료조여대조조상비명현강저，차이유통계학의의（P<0.05)。결론서효모보조우갑악재개선교본갑상선염중갑상선공능감퇴적효과명현，유조우개선환자병정。
Objective To investigate the clinical effect of selenium yeast aided euthyrox on improving Hashimotoˊs thyroiditis with hypothyroidism. Methods 79 cases with Hashimotoˊs thyroiditis and hypothyroidism treated in our hospital were selected and divided into the treatment group(39 cases) and the control group(40 cases) according to the treatment method. The treatment group were given Selenium yeast aided Euthyrox treatment and the control group were given the conventional treatment. And the markers related to thyroid function of the two groups before and after treatment were compared. Results The thyroid FT3 level of the treatment group was higher than that of the control group(6.2±1.4)pmol/L versus (2.5±0.6)pmol/L, and FT4 level was higher than that of the control group (17.5±5.2)pmol/L versus (7.9±1.9)pmol/L, while the TSH level was lower than that of the control group (9.6 ±1.7)mIU/L versus (64.2 ±6.9)mIU/L, the differences between the two groups were statistically significant (P<0.05); After treatment, the level of serum thyroid autoantibody TG-Ab of the treatment group and the control group was (346.37±147.56)IU/mL, (873.58 ±189.21)IU/mL, respectively, and the level of serum TPO-Ab of the treatment group and the control group was (377.81±173.63)IU/ml,(974.84±178.07)IU/mL, respectively, all deceased significantly compared with those before treatment, and the treatment group had more reduction than the control group (P<0.05). Conclusion Selenium yeast aided euthyrox has better effect on improving Hashimotoˊs thyroiditis with hypothyroidism, which helps to improve the patientˊs condition.
