M－促甲状腺激素检测对甲亢、甲减诊断的价值

SEKUM M-TSH TEST IN THE DIAGNOSIS OF HYPERTHYROIDISM AND HYPOTHYROIDISM

采用国产磁分离法药盒测定正常人６９例、甲亢１７６例、甲减２６例血清Ｍ－促甲状腺激素（Ｍ－ＴＳＨ）。结果血清Ｍ－ＴＳＨ正常值为１．７１±０．８５ｍＩＵ／Ｌ。甲亢患者为０．２２±０．１６ｍＩＵ／Ｌ，其中＜０．５ｍＩＵ／Ｌ１７２例，占９７．７％。中减患者为５１．１５±３２／５ｍＩＵ／Ｌ，全部＞５ｍＩＵ／Ｌ。与正常组对照比较均有显著性差别（Ｐ＜０．０１）。

Serum M-TSH was determined in 176 hyperthyroidism, 26 hypothyroidismand 69 normal persons. The serum M-TSH concentration in the hyperthyroidism patients wasin the range of 0.22±0.16mIU/ L,which was lower than that ofthe normal controls(1.71±0.85mIU/L). But the concentration in the hypothyroidism patients (51.15±32/5mIU/L)washigher than the controls. The M-TSH concentration of 172 out of 176 hyperthyroidism patientswas below 0.5mIU/ L(97.7%), and the concentration of all hypothroidism patients was high-er than 5mIU / L. The differences between the normal controls and the hyperthyroidim patientsand the hypothyroidim patients were respectively significant(P<0.01).