在levothyroxine治疗期间,在有精神障碍的个体中,Triiodothyronine水平
Jacqueline Jonklaas1, Bruce Davidson, Supna Bhagat
1Division of Endocrinology, Georgetown University Medical Center, Washington, DC, USA. jj@bc.georgetown.edu
JAMA
|February 21, 2008
概括
单独使用levothyroxine (LT4) 疗法就足以维持在患有心脏病的患者中正常的trioidothyronine (T3) 水平. 这项研究发现,与LT4治疗后的甲状腺切除术后T3水平没有显著下降.
科学领域:
- 内分泌学 在内分泌学.
- 甲状腺学 甲状腺学
- 药理学 药理学是指药理学的学科.
背景情况:
- 甲状腺三甲状腺氨酸 (T3) 产量在患有甲状腺炎的患者中不存在.
- 莱沃甲状腺素 (LT4) 治疗是甲状腺功能低下症的标准,但认为T3 缺乏是不可避免的.
- 之前对LT4和T3联合治疗的试验没有显示出一致的优势.
研究的目的:
- 为了比较LT4治疗患者的T3水平与甲状腺切除术前的自身基线水平.
- 为了确定在LT4治疗期间T3缺乏是否确实是不可避免的.
主要方法:
- 对50名经过全甲状腺切除术的甲状腺功能良好的患者进行前性研究.
- 患者在手术后接受了勒沃西 (LT4).
- 甲状腺激素 (T4),T3和甲状腺刺激激素 (TSH) 水平在手术前和后被测量.
主要成果:
- 与甲状腺切除术前水平相比,在LT4治疗的患者中没有观察到T3度的显著下降.
- 自由T4度在LT4治疗时显著更高.
- 94%的患者达到目标TSH水平;在没有达到目标TSH的人群中,观察到较低的T3.
结论:
- 传统的LT4疗法单独可以在甲状腺切除术后的患者中达到正常的T3水平.
- 可能不需要服用T3来维持内源T3水平.
- 单独使用levothyroxine疗法有效地使T3水平正常化.
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