甲状腺刺激激素抑制治疗对甲状腺切除术后分化甲状腺癌患者的心脏结构和功能的影响:系统性审查和元分析
Hongling Zhang1, Yanlong Yang1, Cuixia Gao2
1The First Clinical Medical College of Gansu University of Chinese Medicine (Gansu Provincial Hospital), Gansu Province, China; Gansu Provincial Hospital, Gansu Province, China.
概括
在差异化甲状腺癌 (DTC) 患者中,甲状腺刺激激素 (TSH) 抑制疗法可能导致心脏缩和腹功能障碍. 这些影响可能与治疗持续时间有关,需要进一步研究.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 差异化甲状腺癌 (DTC) 患者通常在甲状腺切除术后接受甲状腺刺激激素 (TSH) 抑制疗法.
- 这种治疗对心脏的长期影响尚未完全理解.
研究的目的:
- 评估TSH抑制治疗对DTC患者心脏结构和功能的影响.
- 为了确定治疗持续时间和心脏变化之间的潜在相关性.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,Web of Science) 进行了系统的文献搜索,直到2023年1月.
- 对13项研究的元分析评估了心脏形态学,缩和腹缩功能,使用标准平均差异和置信区间.
主要成果:
- TSH抑制疗法与左心室质量指数,壁厚度和异体体放松时间的增加有关.
- 通过降低的E/A比率和E波速度来表明腹结功能受损.
- 左心室喷射率和心脏输出保持不变;隔膜厚度与治疗持续时间相关.
结论:
- 在DTC患者中,长期的TSH抑制疗法与心脏缩和腹功能障碍有关.
- 这些心脏变化可能取决于持续时间.
- 需要进一步的大规模前性研究来证实这些发现.
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