首页|硒酵母片联合左甲状腺素钠片对桥本甲状腺炎伴甲状腺功能减退患者临床研究

硒酵母片联合左甲状腺素钠片对桥本甲状腺炎伴甲状腺功能减退患者临床研究

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目的 分析硒酵母片与左甲状腺素钠片联合使用对桥本甲状腺炎伴甲状腺功能减退患者的临床效果。方法 选择 2022 年 1 月至 2023 年 1 月被九江市第一人民医院收治的 84 例桥本甲状腺炎伴甲状腺功能减退患者,采用随机数字表法分为观察组(42 例)和对照组(42 例)。比较两组临床疗效、甲状腺激素、甲状腺抗体及免疫功能。结果 观察组临床疗效为 95。24%,与对照组的 78。57%比较,差异有统计学意义(P<0。05)。治疗后,观察组游离三碘甲状腺原氨酸(FT3)、血清游离甲状腺素-4(FT4)、免疫细胞CD3+、CD8+水平较对照组高;血清促甲状腺激素、甲状腺过氧化物酶抗体、抗甲状腺球蛋白抗体、免疫细胞CD4+、CD4+/CD8+水平较对照组低,差异有统计学意义(P<0。05)。结论 硒酵母片联合左甲状腺素钠片治疗疗效更佳,能有效改善甲状腺激素水平,降低免疫反应,安全可靠。
Clinical Study of Selenium Yeast Tablets Combined with Levothyroxine Sodium Tablets in Hashimoto Thyroiditis with Hypothyroidism
Objective To study the clinical effect of combining selenium yeast tablets and levothyroxine sodium tablets in patients with Hashimoto's thyroiditis with hypothyroidism.Methods 84 patients with Hashimoto's thyroiditis with hypothyroidism were admitted to The First People's Hospital of Jiujiang from January 2022 to January 2023.Divided into the observation group(42 cases)and the control group(42 cases)using a random number table method.The clinical efficacy,thyroid hormone,thyroid antibodies and immune function were compared between the two groups.Results The clinical efficacy of the observation group was 95.24%,which was statistically different from that of the control group,which was 78.57%(P<0.05).After treatment,the observation group had higher levels of FT3,FT4,and immune cells CD3+and CD8+than the control group;and lower levels of TSH,TPO-Ab,TG-Ab,and immune cells CD4+and CD4+/CD8+than the control group,with statistical differences(P<0.05).Conclusion Selenium yeast tablets combined with levothyroxine sodium tablets have better therapeutic efficacy,which can effectively improve the level of thyroid hormones,reduce the immune response,safe and reliable.

Hashimoto thyroiditisHypothyroidismSelenium yeast tabletsLevothyroxine sodium tabletsClinical research

宁静、黄也

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九江市第一人民医院,江西 九江 332000

桥本甲状腺炎 甲状腺功能减退 硒酵母片 左甲状腺素钠片 临床研究

2024

药品评价
江西省药学会

药品评价

影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(2)
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