首页|首次诊断Graves病患者白细胞或中性粒细胞计数减少的相关因素分析

首次诊断Graves病患者白细胞或中性粒细胞计数减少的相关因素分析

扫码查看
目的 分析首次诊断Graves病患者外周血液中白细胞或中性粒细胞计数减少的相关因素。方法 收集 2020 年 3 月~2022 年11 月在某院就诊的 113 例Graves病患者一般资料以及实验室检查,根据外周血液中白细胞或中性粒细胞计数是否减少,分为白细胞和中性粒细胞计数正常组(正常组)和白细胞或中性粒细胞计数减少组(减少组)。对首次诊断Graves病患者白细胞或中性粒细胞计数减少的相关因素进行分析。结果 统计分析结果显示,两组患者年龄、性别、病程差异无统计学意义(P>0。05),减少组患者游离三碘甲腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素受体抗体(TRAb)水平均高于正常组,差异有统计学意义(P<0。05),两组患者促甲状腺激素(TSH)、甲状腺球蛋白抗体(TGAb)、甲状腺过氧化物酶抗体(TPOAb)水平差异无统计学意义(P>0。05)。相关分析显示,FT3、FT4、TRAb水平与白细胞或中性粒细胞计数减少呈正相关(P<0。05)。Logistic回归分析显示,高水平TRAb(OR= 1。071,95%CI:1。00~1。15)与首次诊断Graves病患者外周血液中白细胞或中性粒细胞计数减少相关。结论 首次诊断Graves病患者外周血液中白细胞或中性粒细胞计数减少与FT3、FT4、TRAb水平相关,高水平TRAb是其危险因素。
Analysis of factors associated with decreased leukocyte or meutrophil count in the first diagnosed of Graves'disease
Objective To analyze the factors associated with decreased leukocyte or neutrophil count in peripheral blood of first diagnosed Graves'disease patients.Methods General data and laboratory examination of 113 patients with Graves'disease treated in a hospital from March 2020 to November 2022 were collected,and they were divided into normal leukocyte and neutrophil count group(normal group)and reduced leukocyte or neutrophil count group(reduced group),according to the reduction of leukocyte or neutrophil count in peripheral blood.The factors associated with decreased leukocyte or neutrophil count in newly diagnosed Graves'disease patients were analyzed.Results Statistical analysis showed that there were no difference in age,sex and course of disease between the two groups(P>0.05),FT3,FT4 and TRAb in reduced group were higher than those in normal group,with statistical differences(P<0.05),there were no difference in TSH,TGAb and TPOAb between the two groups(P>0.05).FT3,FT4 and TRAb levels were positively correlated with the reduction of leukocyte or neutrophil count(P<0.05).Logistic regression analysis showed that high levels of TRAb(OR= 1.071,95%CI:1.00~1.15)were associated with decreased leukocyte or neutrophil counts in the peripheral blood of first diagnosed Graves'disease patients.Conclusion FT3,FT4 and TRAb levels are associated with decreased leukocyte or neutrophil count in peripheral blood of first diagnosed Graves'disease patients,and high level TRAb is risk factor.

Graves'diseaseLeukopeniaNeutropeniaTRAb

王曦晨、王镁

展开 >

辽宁中医药大学,沈阳 110032

辽宁中医药大学附属医院,沈阳 110032

Graves病 白细胞减少 中性粒细胞减少 TRAb

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(2)
  • 16