血清TT3、FT3、TT4、FT4以及TSH检测意义

Thyroid gland disease patient hematology TT3,FT3,TT4,FT4 as well as the TSH examination significance discusses

目的探讨TT3、FT3、TT4、FT4以及TSH在甲状腺疾病患者中检测的价值;总结分析各指标变化情况。方法收集分析本院200例甲状腺疾病患者,并选取健康者50例作为对照组。用化学发光分析法检测各组甲状腺功能,并对各组各指标的检测值进行比较。结果甲亢组T3、T4、FT3、FT4均高于健康对照组,甲减组T3、T4、FT3、FT4均低于健康对照组。TSH含量甲亢组低于健康对照组,甲减组明显高于健康对照组。与健康对照组比较其差异均有统计学意义。甲亢组FT3诊断符合率为96%,TSH为96%,T3为92%,FT4为90%,T4为88%。甲减组TSH诊断符合率为100%,FT4为93%,T4为90%,FT3为77%,T3为70%。结论 FT3、T3、TSH在甲亢诊断中有临床意义;FT4、T4、TSH在甲减诊断中有临床意义。

Objective Discusses TT3,FT3,TT4,FT4 and TSH the value which examines in the thyroid gland disease patient; analysis thyroid gland disease patient TT3,FT3,TT4,FT4 and TSH change situation. Methods analyzes my hospital 200 example thyroid gland disease patients,and selects the normal adult 50 examples to take the control group, analytic method to each group of examination thyroid function,and carries on the comparison to the group various targets＇ examination value. Results primary hyperthyroidism group T3, T4, FT3, FT4 were higher than normally, the hypothyroidism group T3, T4, FT3, FT4 to be lower than normally. The TSH content primary hyperthyroidism group was lower than normally, the hypothyroidism group to be higher than normally obviously. Compares its difference with the control group to have statistics significance, hyperthyroidism group its diagnosis coincidence rate FT3 was 96%, TSH was 96%, T3 was 92%, FT4 was 90 %, T4 was 88 %. The hypothyroidism, the diagnosis coincidence rate respectively was： TSH was 100%, FT4 was 93%, T4 was 90%, FT3 was 77%, T3 was 70% Conclusion FT3, T3, TSH the significance are big in the hyperthyroidism diagnosis; FT4 ,T4 ,TSH the significance are big in the hypothyroidism diagnosis.