摘要
分析健康对照组42人,甲状腺机能亢进(甲亢)初发组26人、治疗未愈组22人、治疗缓解组36人的血清微球蛋白(β2-M),FT3、FT4水平。结果分别为1.14±0.86,6.32±2.10,14.74±4.07;2.72±1.93,29.17±17.28,50.93±21.15,2.88±2.08,15.23±9.25,23.19±15.32;1.50±0.86,5.23±1.64,12.83±4.86.甲亢初发组与未愈组3项指标与对照组比较差异有高度显著性(P<0.01),缓解组差异无显著性(P>0.05).甲亢初发组FT3、FT4与β2-M含量呈正相关,未愈组则无相关关系。4组人群甲状腺抗体阳性率分别为0%、69%、31%、17%,其中初发甲亢组甲状腺微粒体抗体阳性率高(57.7%).在甲亢治疗早期抗体平均结合率下降速度早于β2-M、FT3、FT4,但最终恢复到正常范围又慢于它们以上3指标。
The amounts of serum β2-M、FT3 and FT4 were studied in contrast(Group A,n=42),and patients with hyperthyroidism,including primary and untreated patients (Group B, n=26),treated but uncured patients(Group C,n=22),treated and recovered patients (Group D,n=36).The results showed that there was a remarked difference in there parameters between Grop B or C and A respectively(P<0.01),but no differenace between Groups C and A.There was positive relation between FT3 or FT4 andβ2-M respectively in Group B,but not in Group C.In Group B,the positive rate of anti-thyroid antibody(TM-Ab) was 57.7% which was the highest,and second,third and the lowest in Groups B,C and A respectively.The change in the positive rate of TM-Ab was parallel to that of serumβ2-M, FT3 or FT4 in both patients and controls.