甲状腺功能亢进症应用尿常规检验的诊断价值分析  

Analysis of the diagnostic value of routine urine test for hyperthyroidism

作　　者：胡瑛[1] HU Ying(Department of Clinical Laboratory,The 967 Hospital of the People's Liberation Army Joint Service Support Force,Dalian 116000,China)

机构地区：[1]中国人民解放军联勤保障部队第九六七医院检验科,116000

出　　处：《中国现代药物应用》2023年第17期91-93,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察尿常规检验对甲状腺功能亢进症的诊断价值。方法选取80例甲状腺功能亢进症患者作为观察组,另选择80例健康体检者作为对照组。两组均进行尿常规和甲状腺功能检验。比较两组甲状腺功能指标[血清促甲状腺激素(TSH)、游离三碘甲状腺氨酸(FT_(3))、三碘甲状腺氨酸(T_(3))、游离甲状腺素(FT_(4))、甲状腺素(T_(4))]、尿密度和pH值及尿常规相关指标阳性率。结果观察组TSH(1.30±0.36)mIU/L低于对照组的(1.84±0.64)mIU/L,FT_(3)(9.86±1.45)pg/ml、T_(3)(5.26±1.28)ng/ml、FT_(4)(3.04±0.69)ng/dl、T_(4)(16.28±2.96)μg/dl均高于对照组的(3.25±0.74)pg/ml、(1.32±0.42)ng/ml、(1.52±0.32)ng/dl、(7.25±1.36)μg/dl,差异有统计学意义(P<0.05)。观察组尿密度(1.06±0.04)显著大于对照组的(1.01±0.02),pH值(5.76±0.69)显著低于对照组的(6.54±0.80),差异有统计学意义(P<0.05)。观察组尿糖、尿胆红素、尿酮体、尿蛋白阳性率分别为11.25%、13.75%、15.00%、12.50%,均显著高于对照组的0、0、3.75%、2.50%,差异有统计学意义(P<0.05)。结论通过尿常规检验可以辅助诊断甲状腺功能亢进症,并且可以体现患者的代谢功能,能够为临床治疗提供指导性的依据,可在临床广泛使用。Objective To observe the diagnostic value of routine urine test for hyperthyroidism.Methods 80 patients with hyperthyroidism were selected as the observation group,and another 80 healthy subjects were selected as the control group.Routine urine test and thyroid function tests were performed in both groups.Both groups were compared in terms of thyroid function indexes[thyroid-stimulating hormone(TSH),free triiodothyronine(FT_(3)),triiodothyronine(T_(3)),free thyroxine(FT_(4)),thyroxine(T_(4))],urinary density and pH value,and the positive rate of routine urine related indexes.Results TSH of(1.30±0.36)mIU/L in the observation group was lower than that of(1.84±0.64)mIU/L in the control group;the observation group had FT_(3)of(9.86±1.45)pg/ml,T_(3)of(5.26±1.28)ng/ml,FT_(4)of(3.04±0.69)ng/dl,and T_(4)of(16.28±2.96)μg/dl,which were higher than those of(3.25±0.74)pg/ml,(1.32±0.42)ng/ml,(1.52±0.32)ng/dl,and(7.25±1.36)μg/dl in the control group;the differences were statistically significant(P<0.05).Urine density of(1.06±0.04)in the observation group was significantly higher than that of(1.01±0.02)in the control group,and pH value of(5.76±0.69)was significantly lower than that of(6.54±0.80)in the control group.The differences were statistically significant(P<0.05).The positive rates of urinary glucose,urinary bilirubin,urinary ketone body and urinary protein were 11.25%,13.75%,15.00%and 12.50%in the observation group,which were significantly higher than those of 0,0,3.75%and 2.50%in the control group,and the differences were statistically significant(P<0.05).Conclusion Routine urine tests can assist in the diagnosis of hyperthyroidism and can reflect the patient's metabolic function,which can provide a guiding basis for clinical treatment and can be widely used in the clinical practice.

关 键 词：甲状腺功能亢进症 尿常规 甲状腺功能 诊断价值 

分 类 号：R581.1[医药卫生—内分泌] R446.12[医药卫生—内科学]