甲状腺参数与中性粒细胞/淋巴细胞和血小板/淋巴细胞的比率之间的相关性 甲状腺二型糖尿病患者
Hui Chen1, Jun-Qiang Ju1, Xiao-Wu Qian1
1Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China.
Diabetes, metabolic syndrome and obesity : targets and therapy
|November 29, 2023
概括
在2型糖尿病中,甲状腺功能发生改变,TSH水平较高,FT3/FT4水平较低. 这些甲状腺变化与糖尿病患者的NLR和PLR等炎症标志物相关.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 临床化学 临床化学
背景情况:
- 2型糖尿病 (T2DM) 是一种与代谢失调相关的全球健康问题.
- 炎症在T2DM的发病和进展中起着重要作用.
- 甲状腺功能障碍可以影响代谢过程,但其与T2DM炎症的关系需要进一步调查.
研究的目的:
- 为了研究甲状腺参数:甲状腺刺激激素 (TSH),自由三甲状腺素 (FT3) 和自由甲状腺素 (FT4).
- 检查这些甲状腺激素和炎症指标之间的关系,特别是中性粒细胞/淋巴细胞比率 (NLR) 和血小板/淋巴细胞比率 (PLR).
- 分析在被诊断患有2型糖尿病 (T2DM) 的人群中这些关联.
主要方法:
- 一项涉及672名T2DM患者和336名年龄和性别匹配的健康对照的比较研究.
- 甲状腺激素 (TSH,FT3,FT4) 和炎症标志物 (WBC,中性粒细胞,NLR,PLR) 的实验室分析.
- 统计分析,包括相关性和多重阶段回归,以确定关系和贡献因素.
主要成果:
- 与对照组相比,T2DM患者表现出炎症标志物 (WBC,中性粒细胞,NLR,PLR) 的升高.
- 在T2DM组中,TSH水平较高,FT3/FT4水平较低.
- TSH与NLR/PLR正相关,而FT3/FT4与NLR/PLR负相关. 性别,年龄,NLR,PLR,LDL,HbA1c和TC是影响甲状腺参数的重要因素.
结论:
- 患有T2DM的优甲状腺体个体表现出异常的甲状腺激素代谢.
- 这种异常与炎症活性升高和糖脂代谢受损有关.
- 甲状腺的参数与T2DM的炎症标志物和代谢因素有显著的关联.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.6K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.6K
Diabetes Mellitus: Type 2 and Gestational
2.4K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.4K
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K


