颈动脉搏动增强在Graves甲亢诊断中的应用  

The application of the carotids throbbing potentialization in the diagnosis of the Graves' hyperthyroidism

作　　者：牛宁奎[1] 陈仁辉[1] 王志达[1] 周荫保[2] 

机构地区：[1]天津医科大学,临床医学七年制天津300070 [2]天津医科大学总医院

出　　处：《天津医科大学学报》2007年第3期356-359,共4页Journal of Tianjin Medical University

摘　　要：目的:研究颈动脉搏动增强在Graves甲亢诊断中的应用。方法:总结38例Graves甲亢患者及65例非甲亢患者的颈动脉搏动情况,评价颈动脉搏动增强在甲亢诊断中的应用价值。结果:颈动脉搏动增强在Graves甲亢诊断中的敏感性为94.7%,特异性为98.5%,准确度为96.6%,阳性预测值为98.4%,阴性预测值为94.9%。结论:颈动脉搏动增强作为Graves甲亢诊断的一项有用的体征指标之一,可用于初发或复发甲亢的诊断及甲亢治疗疗效的评价。Objective： To study the application of the carotids throbbing potentialization in the diagnosis of the Graves＇ hyperthyroidism. Methods： The intensity of carotid throbbing was determined in 38 patients with Graves＇ hyperthyroidism and 65 patients without it as control group respectively, and then, these data were analyzed statistically in order to discuss the applicability of this sign in the diagnosis of the Graves＇ hyperthyroidism. Results：The increasing potentialization of carotid throbbing acted an index for the diagnosis of the Graves＇ hyperthyroidism, its sensitivity was 94.7%, specificity was 98.5%, accuracy was 96.6%, positive predicted value was 98.4%, and the negative predicted value was 94.9% respectively. Conclusion：Carotids throbbing potentialization can be used as a useful index in the diagnosis of the Graves＇ hyperthyroidism, and it can be used in the diagnosis of primary or relapsed hyperthyroidism, as well as the evaluation of therapeutic effect.

关 键 词：颈动脉搏动增强 GRAVES甲亢 诊断指标 

分 类 号：R581.1[医药卫生—内分泌]