实热证、虚热证患者血清甲状腺激素和促甲状腺激素水平的对比研究  

Comparison of Serum Levels of Thyroid Hormones and Thyroid-Stimulating Hormone in Excess-Heat and Deficiency-Heat Patients

作　　者：陈群[1] 徐志伟[1] 刘亚梅[1] 

机构地区：[1]广州中医药大学基础医学院,广州510405

出　　处：《广州中医药大学学报》2003年第3期184-186,共3页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药管理局资助课题(编号:97262)

摘　　要：[目的]观察血清甲状腺激素与中医实热证、虚热证的关系。[方法]运用放射免疫法对中医辨证属实热证患者27例、虚热证患者35例进行血清甲状腺激素和促甲状腺激素测定。[结果]虚热证组患者的三碘甲状腺原氨酸(T3)、甲状腺素(T4)水平均升高,反三碘甲状腺原氨酸(rT3)有所下降(与正常对照组比较,P<0.05或P<0.01);而实热证组T3、T4、rT3和促甲状腺激素(TSH)水平与正常对照组相比均无统计学差异(P>0.05)。[结论]虚热证患者与实热证患者血清甲状腺激素的变化是不同的。[Objective] To investigate the relationship of thyroid hormones with excess-heat syndrome and deficiency-heat syndrome. [Methods] Serum levels of thyroid hormones and thyroid-stimulating hormone (TSH) in 30 healthy volunteers (Group A) , 27 cases of excess-heat syndrome (Group B) and 35 cases of deficiency-heat syndrome (Group C) were detected by radioimmunoassay. [Results] Serum levels of triiodothyronine (T3) and thyroxine (T4) were higher and reverse T3 (rT3) lower in Group C than those in Group A (P < 0.05 or P < 0.01). Serum levels of T3 , T4 , rT3and TSH in Group B did not differ from those of Group A (P > 0.05). [Conclusion] Serum thyroid hormones level in deficiency-heat syndrome is different from that of excess-heat syndrome may be related to the hypothalamus-pituitary-thyroid function.

关 键 词：实热证 虚热证 血清 甲状腺激素 促甲状腺激素 放射免疫法 垂体-甲状腺机能 垂体-肾上腺系统 

分 类 号：R255.1[医药卫生—中医内科学]