Ambulatory Radio Iodine Therapy in the Management of Hyperthyroidism in Africa: African Systematic Review and Perspectives in Burkina Faso

Introduction: In hyperthyroidism, selective irradiation of the thyroid gland with radioactive iodine is a radical treatment and an alternative to surgery. The aim of this review is to assess the medium-term efficacy of outpatient treatment of hyperthyroidism with iodine-131 in Africa. Methods: We identified the studies carried out in Africa on outpatient radiation therapy between 2016 and 2020. For each article included, we noted the country concerned and the year of publication, the numbers studied, the socio-demographic characteristics of the patients, the indications for radio iodine therapy, the dose administered, the results of the hormonal dosage 6 months after radiation. Results: 13 retrospective studies were included to constitute a total population of 925 patients. The average age was 40.77 years, the sex ratio of 1/5.4 with a clear female predominance. The 3 main etiologies of hyperthyroidism justifying outpatient radio iodine therapy were Graves’ disease (55.89%), toxic multinodular goiter (22.70%) and toxic adenoma (21.40%). The average dose of iodine 131 administered per course is 13.7 mCi. No short-and medium-term complications were reported. The radio iodine therapy was effective in 86.08% (n = 796) of the patients with extremes of 72% and 100%. Conclusion: Radio iodine therapy is effective in Africa. It is simple, inexpensive on an outpatient basis and well tolerated. The introduction of outpatient radio iodine therapy could improve the management of patients with hyperthyroidism in Burkina Faso.

Lithium carbonate-induced giant goiter and subclinical hyperthyroidism in a patient with schizophrenia:A case report and review of literature

BACKGROUND Lithium carbonate is used to manage various mood disorders,but it can cause thyroid abnormalities,including goiter,hypothyroidism,and hyperthyroidism.In rare cases,it can lead to giant goiter and subclinical hyperthyroidism,which may require surgical intervention in severe cases.CASE SUMMARY This case represents a rare development of giant goiter and subclinical hyperthyroidism in a schizophrenia patient who was subjected to prolonged lithium carbonate treatment.The enlarged thyroid gland caused pressure on the airway and recurrent laryngeal nerve,which led to respiratory distress,hoarseness,and dysphagia.The immediate danger of suffocation required urgent surgical intervention.In this report,we describe the case of a 41-year-old Chinese woman.This sheds light on the etiology and challenges associated with managing a giant goiter.The patient underwent a subtotal thyroidectomy to relieve airway compression and facilitate airway expansion.Prior to the procedure,the patient was given iodine to prepare.Concurrently,changes were made to the psychiatric medication regimen.Following surgery,the patient's respiratory function and vocal cord functionality improved significantly,and her mental state remained stable.CONCLUSION It is essential to monitor thyroid function,test thyroid antibody levels,and perform thyroid ultrasounds consistently in all patients undergoing long-term lithium carbonate treatment.This vigilance helps prevent severe and potentially life-threatening thyroid enlargement.

Clinical Implications and Management of Sub Clinical Hyperthyroidism: A Review

Sub clinical hyperthyroidism (SCH) is characterized by normal free thyroid hormone concentrations along with a low or undetectable serum TSH (thyrotropin) level. The increased use of TSH as a screening measure and improved assay sensitivity is contributing to the diagnosis of sub clinical hyperthyroidism more frequently than ever in our clinical practise leading to the increased prevalence of the disease. The significance of SCH remains uncertain for most patients as some will revert to normal thyroid status over time whereas others will either remain static or progress to overt thyroid disease in the future. The detrimental effects of a persistently suppressed TSH has now been extensively studied and its effect on the cardiovascular system, the skeleton, mood disturbance, quality of life is quite significant leading to considerable morbidity and mortality. Majority of the patients are asymptomatic and lack overt features but the relevance of treatment is more focussed in elderly patients where the risk of developing cardiac arrhythmia and loss of bone mineral density is much more than young people in whom a conservative approach is usually preferred. The issue is contentious, the situation is challenging and the benefits of treatment are debatable. The consensus for who, when and how to treat is growing but still hasn’t been universally accepted. We attempt to review the recent literature available for sub clinical hyperthyroidism and suggest an analytical approach to its investigations and management.

Lipozyme RM IM在人乳替代脂合成中的循环利用及结构变化

目的:研究Lipozyme RM IM在人乳替代脂合成中的应用及其在循环利用中结构的变化。方法:以sn-2高棕榈酸甘油三酯和游离脂肪酸为底物,在Lipozyme RM IM催化下同步合成主要成分为1,3-二油酸-2-棕榈酸甘油三酯(1,3-dioleoyl-2-palmitoylglycerol,OPO)和1-油酸-2-棕榈酸-3-亚油酸甘油三酯(1-dioleoyl-2-palmitoyl-3-linoleoylglycerol,OPL)的人乳替代脂,考察合成过程中OPO与OPL含量、油酸与亚油酸含量、总棕榈酸含量、sn-2棕榈酸含量、酶活力、脂肪酶二级结构信息和内源荧光强度等指标,研究LipozymeRMIM在合成人乳替代脂中的应用及其循环利用特性。结果:以中国母乳脂质数据库为依据评判所合成人乳替代脂指标,Lipozyme RM IM循环使用第1次时,人乳替代脂中OPO相对含量为19.41%,OPL相对含量为17.04%,总脂肪酸中油酸相对含量为35.63%,亚油酸相对含量为22.30%,总棕榈酸相对含量为28.80%,sn-2棕榈酸相对含量为52.40%;当Lipozyme RM IM循环使用至第17次时,母乳结构脂中OPO相对含量为8.50%,OPL相对含量为7.62%,总脂肪酸中油酸相对含量为28.62%,亚油酸相对含量为13.38%,总棕榈酸相对含量为38.26%,sn-2棕榈酸相对含量为58.40%,均与中国母乳脂质范围一致。但Lipozyme RM IM循环使用超过17次后,酶法合成产物脂质组成与中国母乳脂质范围相差甚远。结论:Lipozyme RM IM作为一种酯交换能力优异的脂肪酶,在合成人乳替代脂的过程中可以累计使用17次,证明了固定化脂肪酶在合成人乳替代脂中有较好的循环使用特性。该研究为脂肪酶在人乳替代脂合成中的广泛应用提供了参考依据,同时也为连续性反应器合成人乳替代脂过程中脂肪酶的循环利用提供了参考。

基于GC-IMS和GC-MS技术结合化学计量法分析干燥方式对香椿挥发性成分的影响

为研究干燥方式对香椿挥发性风味物质的影响,利用气相色谱-离子迁移谱技术(gaschromatography-ion mobility spectrometry,GC-IMS)和气相色谱-质谱联用技术(gas chromatography-mass spectrometry,GC-MS)、相对香气活性值(relative odor activity value,ROAV)对真空冷冻干燥、热泵干燥、热风干燥、微波真空干燥的香椿样品进行挥发性成分分析,并进一步结合化学计量方法主成分分析(principal component analysis,PCA)和偏最小二乘判别分析(partial least squares-discriminant analysis,PLS-DA),探究样品间挥发性成分的差异性。结果表明,通过GC-IMS检测到78个峰,鉴定出59种化合物。通过GC-MS鉴定出94种挥发性化合物,主要挥发性成分是硫化物、烯烃类和醛类。经过干燥后总挥发性化合物的含量显著降低。通过ROAV法确定了(E,Z)-二-1-丙烯基二硫化物、2-巯基-3,4-二甲基-2,3-二氢噻吩、正己醛、2-己烯醛、丁香酚等为香椿样品中关键香气化合物。PCA和PLS-DA结果表明,不同干燥方式的样品与新鲜样品有明显的分离,彼此之间也有明显的区别。鲜样和真空冷冻干燥样品为一组,其他3个干燥香椿样品为一组。根据变量投影重要性(variable importance in projection,VIP)得分共筛选出10种(VIP>1)标志挥发性化合物。干燥方式对香椿风味特性影响显著,真空冷冻干燥组与鲜样最为接近,考虑实际应用热泵干燥为香椿最适宜的脱水方式。本研究为热加工过程中风味品质控制提供一定的理论参考。

不同厂家水基胶挥发性物质的GC-IMS差异分析

目的快速分析不同厂家水基胶中的挥发物特性。方法采用气相色谱-离子迁移谱(GC-IMS)联用技术对各种水基胶中的挥发性物质进行定性分析;结合生物指纹图谱、主成分分析(PCA)法以及欧式距离分析法对不同水基胶样品进行差异对比分析。结果水基胶中共识别出88种挥发性化学物质,涵盖酯类、酮类、醇类、醛类、杂环类、酸类、芳香类、醚类、萜类、酰胺类和腈类等11大类别,其中酯类物质占据显著比例,达26种,占总挥发性物质的38%~46%。结论采用GC-IMS技术结合生物指纹图谱、PCA以及欧式距离分析,能够有效区分不同厂家水基胶样品,同时同一厂家不同规格样品之间显示出较高的相似性;GC-IMS技术为不同厂家水基胶的快速溯源鉴别及挥发性物质差异分析提供了有力工具。

Left Ventricular Systolic Intraventricular Flow Field Assessment in Hyperthyroidism Patients Using Vector Flow Mapping

Summary： Intraventricular hydrodynamics is considered an important component of cardiac function assessment. Vector flow mapping （VFM） is a novel flow visualization method to describe cardiac pathophysiological condition. This study examined use of new VFM and flow field for assessment of left ventricular （LV） systolic hemodynamics in patients with simple hyperthyroidism （HT）. Thirty-seven simple HT patients were enrolled as HT group, and 38 gender- and age-matched healthy volunteers as control group. VFM model was used to analyze LV flow field at LV apical long-axis view. The follow- ing flow parameters were measured, including peak systolic velocity （Vs）, peak systolic flow （Fs）, total systolic negative flow （SQ） in LV basal, middle and apical level, velocity gradient from the apex to the aortic valve （AV）, and velocity according to half distance （V1/2）. The velocity vector in the LV cavity, stream line and vortex distribution in the two groups were observed. The results showed that there were no significant differences in the conventional parameters such as left ventricular ejection fraction （LVEF）, left ventricular end-diastolic diameter （LVEDD） and left atrium diameter （LAD） between HT group and control group （P〉0.05）. Compared with the control group, a brighter flow and more vortexes were detected in HT group. Non-uniform distribution occurred in the LV flow field, and the stream lines were discontinuous in HT group. The values of Vs and Fs in three levels, SQ in middle and basal levels, AV and V1/2 were higher in HT group than in control group （P〈0.01）. AV was positively correlated with serum free thyroxin （FT4） （r=0.48, P〈0.01）. Stepwise multiple regression analysis showed that LVEDD, FT4, and body surface area （BSA） were the influence factors of △V. The unstable left ventricular sys- tolic hydrodynamics increased in a compensatory manner in simple PIT patients. The present study in- dicated that VFM may be used for early detection of abnormal ventricle contraction in clinical settings.

Therapeutic plasma exchange and continuous renal replacement therapy for severe hyperthyroidism and multi-organ failure:A case report

BACKGROUND Severe hyperthyroidism is a life-threatening exacerbation of thyrotoxicosis,characterized by high fever and multiorgan failure. The most common medical treatments are administration of antithyroid drugs and radioactive iodine, and thyroidectomy. In some patients, antithyroid therapy is limited due to serious adverse effects or failure to control disease progression. In some extreme cases,such as thyroid storm, conventional therapy alone does not yield effective and rapid improvement before the development of multiorgan failure.CASE SUMMARY This report describes a Chinese patient with severe hyperthyroidism accompanied by multiorgan failure, who was transferred to the medical intensive care unit of our hospital. The patient presented with palpitations, vomiting,diarrhea, and shortness of breath for a week. Laboratory tests showed elevation of thyroid hormones. Hepatic failure occurred with high aminotransferase levels and jaundice. Given her abnormal liver function and medication history, we could not exclude diagnosis of propylthiouracil-induced hepatic failure.Moreover, she also suffered from heart failure. Therapeutic plasma exchange(commonly known as TPE) and continuous renal replacement therapy(commonly known as CRRT) were used as life-saving therapy, which resulted in notable improvement of clinical symptoms and laboratory tests.CONCLUSION Combined TPE and CRRT are safe and effective for patients with hyperthyroidism and multiorgan failure.

基于HS-GC-IMS分析爆珠香精挥发性风味成分差异

采用顶空气相色谱-离子迁移谱(HS-GC-IMS)技术,对不同清新玫瑰爆珠样品中的香精挥发性成分进行鉴定,并通过感官评价,结合主成分分析(PCA)、偏最小二乘判别分析(PLS-DA)、偏最小二乘回归法(PLSR)等多元统计方法识别判定不同样品的主要风味成分差异。结果表明:①感官评价显示该爆珠样品风格特征主要以花香、果香、木香为主,并辅以青香、甜香与酒香香韵,不同样品在花香、果香属性上呈显著差异(p<0.05);②GC-IMS非靶向定性出样品中22种主要的挥发性风味组分,其中醇类8种、酯类3种、酮类3种、醛类3种、烯烃类3种、酸类1种、吡嗪类1种,且指纹图谱直观显示出挥发性较强的醇类、酯类等香气化合物在样品间差异明显;③PCA、PLS-DA能对不同样品进行有效区别,并筛选出10个特征差异组分(VIP>1),PLSR得出样品感官差异主要与2-甲基丁酸乙酯、丁酸乙酯、环己酮、苯乙酮、辛醛、正丙醇和芳樟醇有关。该方法可有效区分不同清新玫瑰爆珠样品,其判定结果与感官评价结果一致,具有准确可靠、可视化强等特点,能够为烟用爆珠产品感官质量快速检验提供技术支持。

BIM技术在产业园建设项目厂房机电安装中的应用研究

建筑信息模型(Building Information Modeling,BIM)技术能够优化工程流程,减少返工和浪费,降低错误率和成本,提升项目的整体性能。同时,BIM技术还促进各方协同合作,提高沟通协调效率,减少信息丢失和误解。介绍BIM技术在厂房机电安装中的应用现状,分析了BIM技术在产业园建设项目厂房机电安装方面的优势和问题,给出了扬州新能源产业园东区建设项目中应用BIM的具体案例和实施建议。

Alström syndrome with a novel mutation of ALMS1 and Graves’hyperthyroidism:A case report and review of the literature

BACKGROUND Alström syndrome(AS,OMIM ID 203800)is a rare disease involving multiple organs in children and is mostly reported in non-Chinese patients.In the Chinese population,there are few reports on the clinical manifestations and pathogenesis of AS.This is the first report on the association between AS and Graves’hyperthyroidism.CASE SUMMARY An 8-year-old Chinese girl was diagnosed with AS.Two years later,Graves’hyperthyroidism developed with progressive liver dysfunction.The patient’s clinical data were collected;DNA from peripheral blood of the proband,parents and sibling was collected for gene mutation detection using the second-generation sequencing method and gene panel for diabetes.The association between the patient’s genotype and clinical phenotype was analyzed.She carried the pathogenic compound heterozygous mutation of ALMS1(c.2296_2299del4 and c.11460C>A).These stop-gain mutations likely caused truncation of the ALMS1 protein.CONCLUSION The manifestation of hyperthyroidism may suggest rapid progression of AS.

基于HS-GC-IMS分析陇南主栽品种初榨橄榄油的风味特征成分

旨在为我国甘肃陇南产区初榨橄榄油(VOO)的快速鉴别以及工业生产过程中的风味品质评价提供数据支撑和理论依据,采用HS-GC-IMS技术对甘肃陇南主栽品种莱星(LX)、佛奥(FO)、科拉蒂(KLD)、皮削利(PXL)、鄂植8号(EZ8)以及LX与KLD的混合品种(HH)6种VOO中的风味特征成分进行定性和差异分析。结果表明:6种VOO中共检测出39种风味特征物质,定性出22种,其中醛类(9种)、酮类(5种)化合物为主要的风味特征成分,此外还包括酯类(3种)、醇类(3种)、萜烯类(1种)和呋喃类(1种)等物质;6种VOO中含有的风味特征物质均存在不同程度的差异,其中,LX、KLD和HH中的风味特征物质较为相似,其2-甲基丁醛、3-甲基丁醛、(E)-2-戊烯醛、辛醛和2-正戊基呋喃含量较高,FO中的正戊醇、正己醛和3-戊酮含量较高,PXL中的(Z)-3-己烯乙酸酯、α-松油烯、2-己酮的含量较高,EZ8中的乙酸乙酯含量最高,HH中的2-丁酮、丙酮、(E)-2-庚烯醛的含量较高。综上,采用HS-GC-IMS可以有效检测VOO中的风味特征物质,定性出的风味特征物质可作为区分6种VOO的依据之一。

Study of the External Dose Rate and Retained Body Activity of Patients with Hyperthyroidism Who Are Receiving Ⅰ-131 Therapy

Hyperthyroidism refers to a clinical state that results from inappropriately hight hyroid hormone levels in the tissues;.Ⅰ-131 therapy plays a critical role and provides a remarkable curative effect in targeting thyroid diseases. Thyroid cells can take up isotope I-131, which emits not only beta rays but also

Influencing factors of radioiodine therapy in hyperthyroidism in adults

The study was to evaluate factors affecting outcome of 131I therapy in hyperthyroidism for optimizing the method. Data from 213 patients who received 131I treatment from July 2003 to July 2005 in our department were retrospectively analyzed. Factors possibly contributing to the outcome of the 131I therapy were analyzed, including gen-der, age, history of antithyroid drug, thyroid volume, duration of disease and radioactive iodine uptake rate. Multivariate analysis was done. The rates of euthyroidism and hypothyroidism were 69% and 8.5%, respectively, after one time 131I therapy. Multivariate analysis of the patients showed no statistically significant factors affecting the outcome of 131I therapy. The study showed that 131I dose can be directly calculated, and this simplifies the dose-determined method and individualizes the therapy.

Influence of serum levels of TSH receptor antibody in pregnant women with Graves disease on neonatal hyperthyroidism

Objective:To investigate the clinical significance of serum thyroid stimulating hormone(TSH) receptor antibody(TRAb) levels in pregnant women with Graves'disease,on neonatal hyperthyroidism. Methods:The clinical data of 68 pregnant women with Graves' disease and their newborns were retrospectively analyzed.Testing indicators included thyroid function tests and TRAb levels during pregnancy,at delivery,and within 2 weeks after birth.The serum TRAb and T_3,T_4,Free T_3,Free T_4,TSH levels were detected by radio receptor assay(RRA) and electrical chemiluminescence immunoassay(ECLIA),respectively. Results:The results showed that serum TRAb levels of the third trimester of pregnancy was positively correlated with that of the umbilical vein(n = 68,r= 0.8494,P<0.01),and that of the newborns(n = 68, r=0.8286,P<0.01).The incidence of neonatal hyperthyroidism was 11.8%(8/68).The serum TRAb levels in the 8 neonates with hyperthyroidism within 2 weeks after birth were 3 times higher than those in the normal neonates.Of these 8 neonates,2 had 15 times higher serum TRAb levels than those of normal neonates within 2 weeks after birth.The thyroid function and TRAb levels of these 2 neonates were still abnormal 6 months later. Conclusions:The risk of hyperthyroidism in newborn whose mother's TRAb levels were high in the third trimester of pregnancy was increased.This study suggests a significant correlation between TRAb levels in pregnant women with Graves' disease and the severity of neonatal hyperthyroidism.

ACUPUNCTURE TREATMENT OF SUBACUTE THYROIDITIS WITH HYPERTHYROIDISM AT THE LATE STAGE

Causes inducing subacute thyroiditis have been unclear, but clinically it is treated mostlywith cortical hormones. In the present paper, it was reported that one case of subacute thyroiditis withhyperthyodism at the late stage was cured with acupuncture at Renying (ST 9), Fengchi (GB 20),Jiaji ponts on the neck and other points. In the treatment, differentiation of symptoms and signs wascombined with differentiation of disease, selection of proximal acupoints was combined with selectionof distal acupoints. The patient was treated in accordance with his physique. Therefore, the therapeu-tic effects were obtained rapidly.

COMPARISON ON THE CLINICAL EFFECT IN THE TREATMENT OF HYPERTHYROIDISM WITH DIFFERENT ACUPUNCTURE INTERVAL

Comparative observation was taken in 112 patients of hyperthyroidism. These patients were treated by both acupuncture and small dosage (10 mg once daily) of Methimazole. The acupuncture was given once weekly in group 1, twice in group 2, and thrice in group 3. The result shows that there is no significant difference in therapeutic effect beween group 2 and group 3 ( P > 0.05 ) . Further analysis discovered that two times' acupuncture given weekly is suitable to recrudescent patient, while in new patient the symptoms can be controlled by needling taken once in a week.

基于GC-IMS技术分析五种市售不同工艺油莎豆油理化品质与风味差异

为研究市售不同工艺油莎豆油理化品质与风味的差异性,采用气相离子迁移谱(Gas Chromatography-Ion Mobility Spectroscopy,GC-IMS)技术结合主成分分析法对比不同工艺(物理压榨、热榨、亚临界萃取、高压冷榨和冷榨工艺)油莎豆油挥发性化合物之间的差异性。GC-IMS结果显示,不同工艺油莎豆油中共鉴定出76种挥发性化合物,其中包括酯类12种、醇类16种、醛类29种、酮类9种、酸类5种、呋喃类3种、吡嗪类1种、硫类1种。热榨组醛类、酯类和呋喃类物质相对含量较高(53.54%,13.06%,5.41%)。不同工艺油莎豆油风味差异性主要来源于四种关键风味物质:1-烯-3-辛醇、壬醛、(E)-2-辛烯醛和己醛。主成分分析(Principal Component Analysis,PCA)结果表明PC1和PC2分别为48.7%和30.1%,累计差异贡献率为78.8%,不同工艺油莎豆油风味物质差异显著,能够对不同工艺油莎豆油良好区分。Pearson相关性分析结果表明不同工艺油莎豆油b*值与酸价、过氧化值、p-丙二醛值和1-烯-3-辛醇之间呈显著正相关(0.57<r<0.88,P<0.05)。本研究结对市售油莎豆油生产加工、理论研究和质量检测等领域具有一定的参考价值。

PROPRANOLOL IN THE SURGICAL TREATMENT OF HYPERTHYROIDISM

From July 1976 to Oct. 1993, propranolol war used to prepare 154 thyrotoxic patients including 95 severe cases. The initial dose of propranolol was gradually increased to 160 mg/d and Lngol's solution war added in for 10-14 days after the pulse rate had become stable. Just before operation another dose of propranolol was given, and propranolol intake war resumed within 6-8 hours after operation. The thyrotoxic symptonis were controlled The postoperative course in 144 cases was uneventful. High fever and tachycardia developed in 7 patients with severe thyrotoxicosis and were controlled by intravenous hydrocortisone and increased dosape of propranolol. Only one case developed hypaplycemia 12 hours after operation. Our study demonstrated that propranolol combined with iodine is a safe method for preoperative treatment in hyperthyroidism. Although there was no thyroid crisis, we do not recommend propranolol alone as the routine preparation for severe thyrotoxicosis. Preparation with antithyroid drugs is the method of choice if the patient can tolerate.

Changes of bone mineral density, bone metabolism indices and cell factors in patients with hyperthyroidism

Objective:To observe the changes of bone mineral density, bone metabolism indices and cell factor in patients with hyperthyroidismMethods:A total of 116 cases of hyperthyroidism patients from June 2015 to June 2016 in our hospital were selected. as the object of observation group. Then, 120 cases of healthy people were selected as the object of control group. Thyroid function indexes (TT3, TT4, FT3, FT4, TSH), bone mineral density (BMD), bone metabolism indexes (PTH, BGP, PINP) and cell factors (IL-2, IL-6) in both groups were detected and compared.Results:TT3, TT4, FT3, FT4, TSH in control group were (1.40±0.81) nmol/L, (94.36±32.10) nmol/L, (5.04±1.18) pmol/L, (15.37±4.60) pmol/L, (2.55±1.21) mU/L. TT3, TT4, FT3, FT4, TSH in observation group were (5.48±2.36) nmol/L, (405.55±71.48) nmol/L, (16.27±5.14) pmol/L, (46.83±12.66) pmol/L, (0.04±0.01) mU/L. TT3, TT4, FT3, FT4 in the observation group were higher than that in control group obviously. TSH in the observation group was lower than that in observation group obviously. The difference between two groups was considered statistically significant. BMD, PTH in observation group were (0.62±0.08) g/m2, (26.25±9.16) pg/mL, which were obviously lower than BMD (1.23±0.11) g/m2, PTH (37.13±8.05) pg/mL in control group. The difference between two groups was considered statistically significant. BGP, PINP in observation group were (14.51±6.25) ng/mL, (223.63±10.38) μg/L, which were obviously higher than BGP (5.97±1.98) ng/mL, PINP (33.18±6.15) μg/L in control group. The difference between two groups was considered statistically significant. IL-2 in observation group was (1.60±0.51) ng/L, which was obviously lower than IL-2 (4.72±1.29) ng/L, in control group. IL-6 in observation group was (1.98±0.34) pg/L, which was obviously higher than IL-6, (1.50±0.23) pg/L, in control group. The difference between two groups was considered statistically significant.Conclusion:Bone mineral density in patients with hyperthyroidism decreased and bone metabolism in patients with hyperthyroidism was active. The significant changes of IL-2, IL-6 also can be seen. In the clinical ,We should enhance the detection of these indexes, so as to take measures to prevent and cure the complications such as osteoporosis.