西藏地区甲状腺疾病合并贫血临床分析  

Clinical analysis of thyropathy affiliating anaemia of tibet area

作　　者：李海英[1] 阿米娜[1] 吕雪梅[1] 赵敏[1] 马永红[1] 朱润生[2] 

机构地区：[1]西藏自治区人民医院内一科,拉萨850001 [2]西藏民族学院医学系,陕西咸阳712000

出　　处：《中国实用内科杂志》2009年第1期60-62,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的了解西藏地区甲状腺疾病合并贫血的状况。方法回顾性分析对2005年7月至2007年5月西藏自治区人民医院内一科249例资料完整的甲状腺疾病患者甲状腺功能、血常规等检查,了解甲状腺疾病与贫血的关系。结果甲亢合并贫血发生率占甲亢组的11.54%;甲减合并贫血发生率占甲减组的6.25%。贫血类型分布:甲亢组正常细胞性贫血13例(72.22%),小细胞低色素性贫血3例(16.67%),大细胞性贫血2例(11.11%);其中女性贫血患者占贫血总数的88.89%;藏族占94.44%;甲减组正常细胞性贫血2例(66.67%),小细胞低色素性贫血1例(33.33%);其中女性贫血患者占贫血总数的100%;藏族占66.67%。结论西藏地区甲亢及甲减合并贫血发生率分别为11.54%、6.25%;贫血类型呈多样性,以正常细胞性贫血为主;贫血程度较轻。贫血原因为多因素所致。Objective To understand status quo of thyropathy associated with anaemia in Tibet. Methods We retrospectively analyze 249 cases of thyroid diseases admitted in the first internal department of Tibet Autonomous Region People＇s Hospital from July 2005 to May 2007. Results The incidence of anemia was 11.54% in hyperthyroidism group,6. 25% in hypothyroidism group. Types of anaemia were as follows ：There were 13 cases of normocytic anaemia（72. 22% ） ,3 cases of microcytic hypochromic anemia （ 16. 67% ）, and 2 cases of macrocytic anaemia （ 11.11% ） in hyperthyroidism group. Of all these patients ,females accounted for 88.89% ,Tibetans 94. 44%. There were 2 cases of normocytic anaemia （66. 67% ）,and 1 cases of microcytic hypochromic anemia（33.33% ） in hypothyroidism group. All these patients were female, Tibetans accounted for 66. 67 %. Conclusion The association of anemia with hyperthyroidism and hypothyroidism was 11.54% and 6. 25% respectively. Types of anaemia were diverse, among which normocytic anemia was most common. Severity was mild. Multiple factors were assumed to contribute to anemia associated with thyropathy.

关 键 词：甲状腺功能亢进症 甲状腺功能减退症 贫血 西藏 高原低氧 

分 类 号：R5[医药卫生—内科学]