首页|甲巯咪唑与丙基硫氧嘧啶对甲亢患者β2-球蛋白及甲状腺激素水平的影响对比

甲巯咪唑与丙基硫氧嘧啶对甲亢患者β2-球蛋白及甲状腺激素水平的影响对比

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目的 比较甲巯咪唑与丙基硫氧嘧啶对甲亢患者β2-球蛋白及甲状腺激素水平的影响.方法 选取浙江省衢州市柯城区人民医院2013年5月~2015年5月收治的90例甲状腺功能亢进症患者,随机分成对照组和观察组,每组45例,对照组患者采用丙基硫氧嘧啶治疗,观察组采用甲巯咪唑治疗,比较2组患者治疗前后的甲状腺激素水平,血、尿β2球蛋白和治疗期间不良反应发生情况.结果 与治疗前相比,2组血、尿β2-球蛋白含量均明显下降,且观察组血、尿β2-球蛋白含量明显低于对照组(P<0.05);与治疗前相比,治疗1、2、3 个月后2组三碘甲状腺原氨酸(FT3)和游离甲状腺素(FT4)水平均明显下降(P<0.05),促甲状腺激素(thyroid stimulating hormone,TSH)水平均明显升高(P<0.05),且观察组各指标显著优于对照组(P<0.05);治疗期间,2组患者不良反应发生率比较,差异无统计学意义.结论 采用甲巯咪唑治疗甲状腺亢进疗效显著,能有效降低体内β2-球蛋白含量,调节机体甲状腺激素水平,安全性好,值得临床推广和应用.
Effect of Methimazole and Propylthiouracil on beta-2 globulin and thyroid hormone levels in the treatment of hyperthyroidism
Objective To compare the effects of methimazole and propylthiouracil on 2-beta globulin and thyroid hormone level in patients with hyperthyroidism.Methods90 cases of patients with hyperthyroidism were treated in our hospital from May 2013 to May 2015, and randomly divided into control group and observation group, 45 cases in each group, the control group was treated with propylthiouracil, the observation group was treated with methimazole, and the level of thyroid hormone, the blood and urine β2-globulin, the occurrence of adverse reactions were compared between the two groups during before&after treatment.ResultsCompared with before treatment, blood, urine β2-globulin content of two groups were significantly decreased, and the blood, urine beta β2-globulin content of the observation group significantly lower than the control group (P<0.05);compared with before treatment, FT3 and FT4 levels of two groups were significantly decreased during 1,2,3 months after treatment (P<0.05), TSH levels were significantly increased(P<0.05), and the observation group was better than the control group(P<0.05);During treatment, the incidence of adverse reactions in the two groups was no significant difference.ConclusionThere is significantly effect of methimazole in the treatment of hyperthyroidism with methimazole, it can effectively reduce the β2-globulin content, and regulating thyroid hormone levels in the body, it is safe worthy of promotion and application.

methimazolepropylthiouracilhyperthyroidismbeta 2-globulinthyroid hormone

徐秀娟、徐忠森、严小丽

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浙江省衢州市柯城区人民医院 内分泌科,浙江 衢州 324000

甲巯咪唑 丙基硫氧嘧啶 甲状腺功能亢进 β2-球蛋白 甲状腺激素

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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