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新诊断出艾滋病毒阳性患者的甲状腺功能
Soutrik Kumar Dutta1, Bipul Chandra Kalita2
1Senior Resident, Department of Medicine, Jorhat Medical College and Hospital, Jorhat; Corresponding Author.
The Journal of the Association of Physicians of India
|June 25, 2023
概括
甲状腺功能障碍在印度东北部新诊断的艾滋病毒患者中很常见,亚临床甲状腺功能低下是最常见的异常. 这项研究强调了对这些人进行甲状腺监测的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 印度东北部是印度艾滋病感染率最高的地区.
- 艾滋病毒感染与内分泌和代谢障碍有关,包括甲状腺功能障碍.
- 甲状腺功能异常影响4-35%的成年艾滋病毒患者,从甲状腺功能下降到甲状腺功能过高.
研究的目的:
- 调查阿萨姆州ART中心新诊断的艾滋病毒感染个体的甲状腺功能.
- 为了确定这种人群中甲状腺功能障碍的患病率和类型.
- 分析与年龄,性别和CD4细胞计数有关的甲状腺功能障碍.
主要方法:
- 一项基于医院的观察性研究对95名新诊断的艾滋病毒阳性患者进行,这些患者从未接受过ART治疗.
- 进行了甲状腺功能测试 (TSH,FT3,FT4) 和CD4计数.
- 收集了患者病史,检查和实验室调查的数据.
主要成果:
- 36.84%的患者表现出甲状腺功能障碍,亚临床甲状腺功能低下是最常见的.
- 甲状腺功能障碍在女性 (42.3%) 和30-39岁年龄组中更为普遍.
- 患有甲状腺功能障碍的患者通常具有CD4计数在101-200细胞/mm3.3之间.
结论:
- 甲状腺功能障碍是印度东北部新诊断的艾滋病毒阳性患者常见的并发症.
- 这一群人中甲状腺功能障碍的患病率明显高于一般人群.
- 甲状腺异常在艾滋病毒感染的所有阶段都被观察到.
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