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題 名 | 利用TSH篩檢老人之甲狀腺功能異常=Screening of Thyroid Dysfunction by TSH in Elderly Persons |
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作 者 | 余豎文; 鄭維理; 林仲明; 林怡君; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 10:3 2000.09[民89.09] |
頁 次 | 頁129-135 |
分類號 | 417.7931 |
關鍵詞 | 老人; 甲狀腺功能異常; TSH; Overt thyroid dysfunction; Subclinical thyroid dysfunction; Screening; |
語 文 | 中文(Chinese) |
中文摘要 | 甲狀腺功能異常的發生率隨年齡增加而增加。對於老人是否應該定期篩檢甲狀腺功能目前是沒有定論的。本研究是篩檢65歲以上老人血中TSH的濃度,以了解此族群患有甲狀腺功能異常的盛行率。在民國89年4月至6月間,我們篩檢了2,229位65歲以上之老人,發現其中有81年TSH低於標準值;另有100人TSH高於標準值,總異常率為8.12%。在進一步分開分析男女的異常率,女的總異常為11.5%。男的總異常率為5.92%,男女有顯著的差異。另外了檢查老人的TSH,我們同時檢查老人之膽固醇,三酸甘油脂及骨質密度,發現TSH低下之老人骨質密度之平均T-score為-2.12,顯著高於TSH正常及升高之老人。我們進一步分析接到異常報告回來本院覆檢之41位老人,其中11位為TSH低下,覆檢後發現T4或T3升高者有1位,另外30位TSH升高的老人,覆檢後發現T4或T3降低者有7位。這研究發現65歲以上老人甲狀腺功能異常的盛行率相當高,女比男高,大部分袛是只有TSH的異常,但是T4及T3還是正常的。這些TSH異常但是T4及T3還是正常的病人,我們稱之為次臨床之甲狀腺功能異常(subclinical thyroid dysfunction)。我們需要進一步研究追蹤,以了解次臨床之甲狀腺功能異常之臨床義意及最佳之治療對策。 |
英文摘要 | The prevalence of thyroid dysfunction increases with the increasing of age. It is still a controversial issue to screen elderly persons for thyroid dysfunction. In this study, we screened elderly persons over 65 years old for the blood level of TSH to investigate the prevalence of thyroid dysfunction in such population. Between April and June of 2000, we screened 2229 elderly persons over 65 years old, we found that 81 elderly persons had TSH below normal limits; while there were 100 elderly persons had TSH above normal limits, the total abnormal percentage was 8.12%. The prevalence of TSH abnormality in females was 11.5%, the prevalence of it in males was 5.92%, the difference between males and females was significant. In addition to TSH, we also checked the cholesterol, triglyceride and bone mineral density of the subjects. We found that the elderly persons with TSH below normal limits had average T score of -2.12, that was significantly higher than the elderly persons with normal or high TSH. We further analysed the 41 elderly persons with TSH abnormality who came back for further examination, we found that only 1 in the 11 subjects who had low TSH had high T4 or T3 in the further examination, and there were 7 in the 30 subjects who had high TSH had low T4. In this study we found that the prevalence of thyroid dysfunction was relatively high in the elderly population, females had a higher prevalence than males. Most of the abnormality only involved TSH, but the T4 and T3 in them were still within normal limits. This group of elderly persons had subclinical thyroid dysfunction. We need further study and research to investigate the clinical curse and the significance of subliminal thyroid dysfunction in order to find out a better management in such elderly presons. |
本系統中英文摘要資訊取自各篇刊載內容。