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甲状腺功能亢进患者肝功能损害临床特点

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目的 分析甲状腺功能亢进患者肝功能损害临床特点。方法 选取甲状腺亢进患者 80 例,其中,肝功能损害患者40 例(观察组),未见肝功能损害患者 40 例(对照组)。两组患者均采用全自动生化分析仪检测肝功能;采用化学发光检测法检验各项甲状腺功能指标;获取患者病程、年龄等信息,并对上述指标进行组间比较,观察两组患者肝功能损害情况。结果 观察组患者年龄平均(48。45±2。55)岁,对照组患者年龄平均(48。65±2。65)岁,(P>0。05)。观察组患者1a以下肝功能损害患病率为25。00%(10/40),1 a以上肝功能损害患病率为75。00%(30/40),患者肝功能损害病程比较差异具有统计学意义(P<0。05)。观察组患者肝功能指标碱性磷酸酶(ALP)、谷丙转氨酶(ALT)、谷草转氨酶(AST)、谷氨酰转肽酶(GGT)、总胆红素(TbiL)水平高于对照组(P<0。05);甲状腺功能指标FT3、FT4、TT3、TT4、TSH水平高于对照组(P<0。05)。Pearson相关性分析显示,甲状腺亢进肝功能损害患者血清游离三碘甲状腺原氨酸(FT3)、血清游离甲状腺素(FT4)、三碘甲状腺原氨酸(TT3)和四碘甲状腺原氨酸(TT4)与ALT水平呈正相关关系(P<0。05);FT3、FT4、TT3 与AST水平呈正相关关系(P<0。05);ALP、GGT、TBiL与年龄、病程、FT3、FT4、TT3、TT4、TSH无相关性(P>0。05)。结论 甲状腺功能亢进患者肝功能损害与患者年龄、病程密切相关;肝功能损害情况与甲状腺功能呈正相关关系,甲状腺功能指标越高,患者肝功能损害越严重。
Clinical Characteristics of Liver Damage in Patients with Hyperthyroidism
Objective To analyze clinical characteristics of liver damage in patients with hyperthyroidism.Methods Select 80 patients with hyperthyroidism,including 40 patients with liver function impairment(observation group)and 40 patients without liver function impairment(control group).Both groups of patients were tested for liver function using a fully automated biochemical analyzer,using chemiluminescence detection method to test various thyroid function indicators,obtaining information on the patient's course of illness,age,etc.,and comparing the above indicators between groups to observe the liver function impairment of the two groups of patients.Results The average age of patients in observation group was(48.45±2.55)years,while the average age of patients in control group was(48.65±2.65)years,(P>0.05).The incidence of liver function impairment in observation group was 25.00%(10/40)for patients under 1 a,and 75.00%(30/40)for patients over 1 a.The difference in the duration of liver function impairment among patients was statistically significant(P<0.05).The differences in liver function indicators ALP,ALT,AST,GGT,and TBiL between the two groups of patients were statistically significant.Among them,observation group had higher ALP,ALT,AST,GGT,and TBiL than control group,and the differences were statistically significant(P<0.05).There was a statistically significant difference in thyroid function indicators FT3,FT4,TT3,TT4,and TSH between the two groups of patients.Among them,observation group had higher levels of FT3,FT4,TT3,TT4,and TSH than control group,and the difference was statistically significant(P<0.05).Pearson correlation analysis showed that FT3,FT4,TT3,TT4 were positively correlated with ALT levels in patients with hyperthyroidism and liver dysfunction(P<0.05);FT3,FT4,TT3 are positively correlated with AST levels(P<0.05).ALP,GGT,TBiL were not correlated with age,disease duration,FT3,FT4,TT3,TT4,TSH(P>0.05).Conclusion By analyzing clinical characteristics of liver damage in patients with hyperthyroidism,the results show that liver damage is closely related to the age and course of disease.Additionally,liver damage is positively related to thyroid function;the higher the thyroid function index,the more severe the liver function damage.

hyperthyroidismliver damageclinical features

周小月、刘熳、陈光裕

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北华大学附属医院,吉林 吉林 132011

甲状腺功能亢进 肝功能损害 临床特点

2025

北华大学学报(自然科学版)
北华大学

北华大学学报(自然科学版)

影响因子:0.609
ISSN:1009-4822
年,卷(期):2025.26(1)