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《桥本甲状腺炎患者血清TPOAb、TGAb的检测及临床意义.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、40·论著·July2013,Vo1.11,No.20桥本甲状腺炎患者血清TPOAb、TGAb的检测及临床意义康志君张震宇(广东广州新海医院内分泌科,广东广州510300)【摘要】目的通过对桥本甲状腺炎(HT)患者血清TPOAb、TGAb的检测探讨其临床意义。方法选取HT惠者(i组)162例,分为甲功低下组(Ia组)87例和甲功正常组(Ib组)75例,Ia组均给予优甲乐治疗;对照组分为单纯性结节性甲状腺肿组(II组)160例和正常体检健康人组(⋯组)162例,所有的研究对象及la组治疗6个月后均进行TPOAb、TGAb检测,并对
2、不同组中的两种抗体情况进行观察比较。结果I组(Ia、Ib组)与l】组、川组对比,TPOAb、TGAb的阳性率和滴度水平均有显著性差异(P<0.01);la组中,治疗前与治疗后比较TPOAb、TGAb有显著性差异(P3、,TGAbDetectionandClinicalSignificanceKANGZhi-jun,ZHANGZheng-yu(DepartmentofEndocrinology,XinhaiHospitalofGuangzhou,Guangzhou510300,China)【Abstract1AbstractDetectiontheserumofpatientswithHashimoto’Sthyroiditis(HT)ofTPOAb,TGAbinvestigatetheclinicalsignificance.MethodsH4、Tpatients(Igroup)162cases,dividedintolowthyroidfunctiongroup(A)87casesofnormalthyroidfunctionthe(Ibgroup)75cases,Iagroupweregiveneuthyroxtherapy;thecontrolgroupdividedintosimplenodulargoitergroup(Ⅱgroup),162casesofthe160casesandthehealthycontrolgroupofhealthycontrols5、(1itgroup),allsubjectsandIagroupafter6monthsoftreatmentwereTPOAb,TGAbdetectionandthecaseofthetwoantibodiesindiferentgroupswereobservedandcompared.ResultsIgroup(Ia,Ibgroup),group1I,groupⅢcontrast,TPOAb,ofTGAbpositiverateandtitersweresignificantdiferences(P<0.01);Iagro6、upbeforetreatmentandaftertreatmentTPOAb,TGAbsignificantdiference<0.01).ConclusionTheTGAbandTPOAbdetectionprovidesanimportantbasisfurthediagnosisofHashimoto’Sthyroiditisandconditionevaluation.【KeywordsJHashimoto’Sthyroiditis(HT);Thyroidautoantibodies;TPOAb;TGAb桥本甲状腺炎(7、hashimoto’Sthyroiditis,HT)又称慢性淋巴细胞查TPOAb、TGAb的滴度水平。性甲状腺炎,属于自身免疫性甲状腺病(autoimmunethyroiddisease,1.2方法AITD),其临床特点为质韧无痛性、弥漫性甲状腺肿大。关于HT的诊所有的研究对象均于清晨抽取空腹静脉血,3000r/min离心断,北京协和医院白耀曾有重要建议:①凡患者有典型临床表现,只10min,取血清备用。采用i2000全自动化学发光免疫分析仪检测要血中TGA或TMA阳性,即可诊断;②若临床表现不典型,则需有高TPOAb、TGAb8、,仪器生产厂家为美国雅培公司。具体参考范围如滴度的抗甲状腺抗体测定结果才能诊断。TGAI!p指甲状腺球蛋白抗体下:TPOAb<5.611U/mL、TGAb<4.11IU/mL。(TGAb),TMA~I]指甲状腺微粒体抗体,也称为甲状腺过氧化物酶1-3统计学方法抗
3、,TGAbDetectionandClinicalSignificanceKANGZhi-jun,ZHANGZheng-yu(DepartmentofEndocrinology,XinhaiHospitalofGuangzhou,Guangzhou510300,China)【Abstract1AbstractDetectiontheserumofpatientswithHashimoto’Sthyroiditis(HT)ofTPOAb,TGAbinvestigatetheclinicalsignificance.MethodsH
4、Tpatients(Igroup)162cases,dividedintolowthyroidfunctiongroup(A)87casesofnormalthyroidfunctionthe(Ibgroup)75cases,Iagroupweregiveneuthyroxtherapy;thecontrolgroupdividedintosimplenodulargoitergroup(Ⅱgroup),162casesofthe160casesandthehealthycontrolgroupofhealthycontrols
5、(1itgroup),allsubjectsandIagroupafter6monthsoftreatmentwereTPOAb,TGAbdetectionandthecaseofthetwoantibodiesindiferentgroupswereobservedandcompared.ResultsIgroup(Ia,Ibgroup),group1I,groupⅢcontrast,TPOAb,ofTGAbpositiverateandtitersweresignificantdiferences(P<0.01);Iagro
6、upbeforetreatmentandaftertreatmentTPOAb,TGAbsignificantdiference<0.01).ConclusionTheTGAbandTPOAbdetectionprovidesanimportantbasisfurthediagnosisofHashimoto’Sthyroiditisandconditionevaluation.【KeywordsJHashimoto’Sthyroiditis(HT);Thyroidautoantibodies;TPOAb;TGAb桥本甲状腺炎(
7、hashimoto’Sthyroiditis,HT)又称慢性淋巴细胞查TPOAb、TGAb的滴度水平。性甲状腺炎,属于自身免疫性甲状腺病(autoimmunethyroiddisease,1.2方法AITD),其临床特点为质韧无痛性、弥漫性甲状腺肿大。关于HT的诊所有的研究对象均于清晨抽取空腹静脉血,3000r/min离心断,北京协和医院白耀曾有重要建议:①凡患者有典型临床表现,只10min,取血清备用。采用i2000全自动化学发光免疫分析仪检测要血中TGA或TMA阳性,即可诊断;②若临床表现不典型,则需有高TPOAb、TGAb
8、,仪器生产厂家为美国雅培公司。具体参考范围如滴度的抗甲状腺抗体测定结果才能诊断。TGAI!p指甲状腺球蛋白抗体下:TPOAb<5.611U/mL、TGAb<4.11IU/mL。(TGAb),TMA~I]指甲状腺微粒体抗体,也称为甲状腺过氧化物酶1-3统计学方法抗
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