状细胞病患者甲状腺功能异常:一个元分析
Sagad O O Mohamed1, Hussein Ahmed2, Mohammed A H Mohammednoor2
1Faculty of Medicine, University of Khartoum, Alqasr Avenue, P.O. Box 102, Khartoum, Sudan. s.oom123@yahoo.com.
Thyroid research
|February 2, 2025
概括
状细胞疾病 (SCD) 患者的甲状腺刺激激素 (TSH) 水平较高,甲状腺激素水平较低的趋势. 监测甲状腺功能对于在SCD中早期检测甲状腺功能低下至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
- 遗传学 是一个遗传学.
背景情况:
- 内分泌功能障碍在状细胞疾病 (SCD) 中越来越多地被认可.
- 在SCD中甲状腺疾病可能导致生长和认知障碍.
- 在SCD中甲状腺异常程度的数据是有限的.
研究的目的:
- 系统地审查和分析SCD患者的甲状腺功能异常.
- 为了确定甲状腺疾病在SCD人群中的患病率和频谱.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在主要的科学数据库 (Medline/PubMed,谷歌学者等) 进行的搜索. ) 的情况.
- 用于计算聚合流行率和标准化平均差异 (SMD) 的元分析.
主要成果:
- 包括19项研究;在SCD患者中发现血清TSH水平升高 (SMD = 1.184,p=0.011).
- 在SCD患者中观察到较低T3,T4,自由T3和自由T4水平的趋势.
- 在SCD中,甲状腺功能低下症的综合患病率为4.9%,亚临床甲状腺功能低下症为8.7%.
结论:
- SCD患者往往具有提升的TSH水平,表明潜在的甲状腺功能障碍.
- 亚临床甲状腺功能低下症存在于SCD患者的一个子集中.
- 在SCD管理中,定期监测甲状腺功能至关重要,以防止明显的甲状腺功能低下和不良结果.
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