原发性肾病综合征患儿血清甲状腺激素水平及相关因素分析

CHANGES OF SERUM T_3, T_4 AND TSH IN 3O CAESE OF CHILDREN WITH PRIMARY NEPHROTIC SYDROME

  • 摘要: 为评价肾病综合征患儿血清激素水平与代谢紊乱的关系,本文用放射免疫法测定了30例原发性肾病综合征患儿血清甲状腺激素总T3、总T4及促甲状腺激素TSH水平.肾病综合征患儿分为活动期和缓解或各15例,并以15例正常健康儿童作为对照组。结果活动期患儿T3和T4值分别为1.41±0.49和52.33±27.97(nmol/L),校对照组2.75±1.13和1254±59.25均明显降低(t值分别为4.253和4.701,P均<0.01),缓解期患儿分别为2.66±0.52和97.01±37.38,与对照组无明显差别(均P>0.01)。患儿血T3水平与T4水平的下降相一致(r为0.7626,P<0.01),与24h居蛋白定量呈反比.与血清白蛋白浓度相平行(r分别为-0.6524和0.7284.产值分别小于0.05和0.01),与血胆固醇浓度和病程则无关.活动期和缓解或TSH分别为18.67±12.97和20.43±10.36mU/L),均较对照组也.34±1.77升高明显(t值分别为4.80和6.503,P<0.01)。结果表明,尽管在原发性肾病的活动期和缓解期均有血清TSH的升高,但活动期患儿血清甲状腺激素水平则下降,与尿蛋白的排泄有一定关系.可能导致相应的代谢紊乱。

     

    Abstract: In order to observe the relation between hormon levels and metabolism disturbances in child nephrotic syndrome,serum total T3,T4 and TSH in 3o cases of children with primary nephrotic syn drome were determined. Method: Each 15 cases respectively in active and remission phase was compaired with 18 cases of healthy or nonrelative pat1ents as control by determining the serum T3,T4 and TSH in RIA. It was found that in active phase T, (1. 41 ±0. 49nmol/L) and T, (52. 33± 29. 97)were lower than control(respectively 2. 751±1. 13 and 125. 4 ± 59. 25, t values respectively 4. 253 and 4. 701, P 0. 01 ). But tbey were near to control in remission phase(respectively 2. 66±0. 52 and 97. 01± 137. 38, P 0. 1 ). The level of serum T3 was releted negatively linearly with the quantity of proteinuria for 24 hours (r = -0. 6524, P 0. 05) and positively with serum albumin concentration(r = 0. 7284, P 0.01 ). The concer trations of serum TSH,respectively 18. 67± 12. 97(mU/L) in active phase and 2O. 43± 10. 36 in remission phase,were much higher than control(4. 34 ± 1. 77,t value respetively 4. 8O and 6. 503, P0. 01 ). The result shows that total levels of serum T, and T4 are decreased and related with proteinuria although the concentraions of serum TSH in ative or remission phase are increased The changes of serum hormones probably resulted in related. metabolism disturbances.

     

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