[甲状腺刺激激素和自由甲状腺素的特定年龄参考间隔,以优化甲状腺疾病的诊断]
Wendy P J den Elzen1, Heleen I Jansen2, Niek F Dirks3
1Amsterdam UMC. afd. Laboratoriumgeneeskunde, Amsterdam.
Nederlands tijdschrift voor geneeskunde
|April 14, 2025
概括
建立甲状腺激素的特定年龄参考间隔,包括甲状腺刺激激素 (TSH) 和自由甲状腺素 (FT4),可以减少成人和儿童的亚临床甲状腺功能低下症诊断.
科学领域:
- 内分泌学 在内分泌学.
- 临床化学 临床化学
- 老年医学 老年医学
背景情况:
- 在实验室环境中,甲状腺激素如TSH和FT4的参考间隔通常不是特定于年龄的.
- 这种缺乏年龄差异可能导致对结果的误解,特别是在老年人和儿童中.
研究的目的:
- 在全国人口中确定TSH和FT4的特定年龄的参考间隔.
- 评估实施这些新间隔对亚临床甲状腺功能低下症的诊断的影响.
主要方法:
- 进行了一项国家研究,收集数据以建立特定年龄的参考间隔.
- 在不同年龄组分析了甲状腺激素水平 (TSH和FT4).
主要成果:
- 与成人相比,TSH参考间隔在儿童 (2-12岁) 中发现更高.
- 在成年人中,TSH参考区间的上限随着年龄的增长而增加,从50-60岁开始,而下限一直保持稳定,直到80岁.
- FT4参考间隔显示了与年龄相关的温和趋势. 实施特定年龄段的间隔显著减少了各个成年年龄组的亚临床甲状腺功能低下症诊断.
结论:
- 针对TSH和FT4的特定年龄的参考间隔对于准确评估甲状腺功能至关重要.
- 实施这些年龄特定的间隔可以显著减少亚临床甲状腺功能障碍症的过度诊断,特别是在老龄化人口中.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.0K
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...
4.0K
Functions of Thyroid Hormones
2.4K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.4K
The Thyroid Gland
3.3K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.3K


