由于手术患者的维生素C和胺缺乏而复杂的甲状腺功能低下症
Hugo J R Bonatti1, Sridhar Rao Gona2, Catherine Feaga3
1Department of Surgery, Meritus Health, Hagerstown, MD, USA.
The American surgeon
|June 6, 2023
概括
危急疾病可能涉及多种维生素缺乏和内分泌不良. 这项研究发现高风险患者的维生素C和胺缺乏率很高,突出了潜在的公共卫生问题.
科学领域:
- 内部医学 内部医学
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 危急疾病可能会出现复杂的营养和内分泌问题.
- 同时存在的维生素缺乏症,如皮病 (维生素C) 和韦尼克脑病 (胺),可与甲状腺功能低下等内分泌病发生.
- 老年患者的非典型表现可能会掩盖这些缺陷.
研究的目的:
- 研究患有这些疾病风险的患者中维生素C和胺缺乏症的患病率.
- 评估这些缺陷与甲状腺刺激激素 (TSH) 水平升高之间的相关性.
- 为了确定特定患者群体内营养缺乏的潜在趋势.
主要方法:
- 从2018年9月到2022年12月的患者数据的回顾性分析.
- 在高危患者中测量维生素C,胺和TSH水平.
- 识别患有缺陷和/或提升TSH的患者.
主要成果:
- 在801次测量中,39%的维生素C水平低于0.4 mg/dL.
- 在626次测量中,39%的胺水平较低.
- 22名患者出现了维生素C和/或胺缺乏以及提升的TSH;两人死于病.
结论:
- 在这个农村医院人口中,维生素C和胺缺乏的发生率超过了预期.
- 这些发现表明,可能需要提高对风险人群中这些缺陷的认识和查.
- 需要进一步的研究,以确定这种趋势是否局部化或表明与饮食习惯相关的更广泛的公共卫生问题.
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