• 제목/요약/키워드: Thyroid hormone

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개심술 후 갑상선 호르몬치 변화에 대한 연구 (Alterations in Thyroid Hormone Levels After Open Heart Surgery)

  • 김광휴;조삼현
    • Journal of Chest Surgery
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    • 제30권2호
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    • pp.131-136
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    • 1997
  • 갑상선 호르몬은 체내에서 기초대사량을 증가시키고, 교감신경 흉분작용을 나타내며,심장에 대해서는 심근수축력, 심박수, 심근 산소소모량 등에 영향을 미친다. 개심술과 같은 대수술시나 심한 전신질환이 있을 때 흔히 갑상선 호르몬치의 변화를 보이게 되는 바 본 연구에서는 인공 체외순환이 갑상선 기능에 어떤 영향을 미치는지, 그리고 변화된 갑상선 기능이 개심술후 회복에 영향을 미치는 지에 대해 알아보고자 하였다. 1995년 4월부터 1996년 2월까지 전남대학교 의과대학 흉부외과학교실에서 인공 체외순환 하에 개심 술을 받은 20명의 환자를 대상으로 갑상선 기능을 평가하였다. 대상 환자 모두 술전에 갑상선 질환을 앓은 병력이나 갑상선 기능에 영향을 미칠 수 있는 어떤 형태의 시술, 검사, 및 약물치료를 받은 적은 없었다. 대상 환자를 두 그룹으로 나누었으며, 술후 회복에 특별한 문제가 없었던 환자군(Group 1, n=10), 술후 합병증(호흡부전, 저심박출증, 다장기 기능부전 등)이 발생한 환자군(Group 2, n=10)으로 강심제를 고용량으로 3일 이상 유지하였거나, 4일 미상 중환자실 체류를 필요로 한 경우로 하였다. 갑상선 기능의 평가는 말초\ulcorner액에서 측정한 triiodothyronine(73), thyroxine(74), free thyroxine(n4), 및 thyroid stimulating hormone(TSH) 농도를 기준으로 하였다. 인공 체외순환이 갑상선 호르몬 변화에 미치는 영 향을 알기 위해 술전 검사치와 비교분석하였으며, 갑상선 호르몬의 변화가 술후 예후에 미치는 영향을 알아보기 위해 두 그룹간의 검사치를 비교 분석하여 보았다. 혈청 T)는 인공 체외순환 후 10분에 최저 치(30.05*17.5ng/dl, p(0.001)로 감소하였다가 점차 증가하였으나 전체적으로 술전에 비해 의미 있게 낮았으며(p<0.05), 혈청 T4, fT4, TSH는 다소간의 변동을 보여, 체외순환을 사용한 개심술이 갑상선 기능에 변화를 초래하며, 모두 그룹간의 비교에서도 혈청 T3는그룹 1에 비해 그룹2에서 의미 있게 낮았으며(P<0.05), 술후 4일째 그룹 1에서는 정상수준으로 회복되었으나 그룹 2에서는 정상수준으로 회복되지 못한 점으로 미루어 이처럼 변화된 갑상선 기능이 술후 환자의 회복에 영향을 미침을 알 수 있었으며, 이는 집중 치료 중인 가사 상태의 환자에서 흔히 볼 수 있는 "euthyroid sick syndrome"과 유사한 양상이었다. 이상의 결과로 인공 체외순환이 갑상선 기능을 변화시키며, 갑상선 기능의 변화가 술후 환자의 예후에 영향을 미칠 수 있음을 시사하였다. 앞으로 더욱 정선되고 선택된 경우에 대한 많은 연구와 더불어 다음 단계로 갑상선 호르몬(73)의 투여가 실제로 술후 환자의 회복에 관련이 있는 지의 연구가 필요하리라 사료된다.요하리라 사료된다.

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여성의 무증상 갑상샘 기능이상과 관상동맥질환 발생과의 관련성 연구 (A Study of Subclinical Thyroid Function Disorder and the Risk of Coronary Heart Disease in Women)

  • 염순교;박재순
    • 성인간호학회지
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    • 제22권1호
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    • pp.80-89
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    • 2010
  • Purpose: This paper has attempted to investigate the association between the subclinical thyroid function disorder caused by natural change in thyroid hormones or thyroid remedies and the incidence of CHD. Methods: Data was analyzed of 7,675 women who had undergone health examinations in a hospital in Gyeonggi-do between January 2007 and December 2008. The covariation of the coronary risk factors such as age, BMI, HbA1C, systolic blood pressure, LDL:HDL-cholesterol ratio, CRP, smoking and exercise were analyzed by using logistic regression analysis. Results: A significant increase in serum TSH was observed with higher age (F=26.91, p=.00). In terms of age, the risk of CHD started to gradually increase since the 40s and sharply since the 60s (${\chi}^2$=113.29, p=.00). The serum TSH was the most significant parameter influencing CHD (B=.12, p=.00). The risk of coronary heart disease was 3.12 times higher in the subclinical hypothyroidism group (OR=3.12) while no significant difference was observed in the subclinical hyperthyroidism group. Conclusion: Subclinical hypothyroidism may be an independent risk factors for CHD. A nurse nursing patients with thyroid disorder should be well informed of their state of subclinical thyroid function disorder and make efforts to extend their health expectancy.

Effect of Growth Hormone on Vitellogenin Production by Estradiol-17$\beta$ in the Culture of Hepatocytes in the Rainbow Trout Oncorhynchus mykiss

  • Yeo In-Kyu;Mugiya Yasuo
    • Fisheries and Aquatic Sciences
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    • 제1권1호
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    • pp.19-23
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    • 1998
  • Effects of pituitary and thyroid hormones on estradiol-induced vitellogenin (VTG) induction were electrophoretically examined in primary hepatocyte cultures of rainbow trout. Hepatocytes were precultured for 2 days and then estradiol-17 $\beta$ $(E_2,\;2 \times 10^{-6}M)$>, triiodothyronine $(T_3,\;10^{-8}-10^{-6}M)$, bovine growth hormone (bGH, 10-100 ng/ml), ovine prolactin (oPRL, 100-500 ng/ml), and pituitary extract (PE) of rainbow trout (0.75PE/dish) were added to the incubation medium. The hepatocytes were cultured for 7 more days. The addition of oPRL to the incubation medium was not effective in increasing VTG production at any concentrations. The addition of PE to the incubation medium with $E_2$ was not effective in increasing VTG production. The addition of bGH to the incubation medium with $E_2$ was not effective in increasing the rate of VTG production at concentrations of 10-50 ng/ml. However, a higher concentration of bGH, 100 ng/ml, increased VTG production. The various concentrations of $T_3$ were ineffective in stimulating VTG production. These results suggest that GH could be one of stimulus factors for VTG production in rainbow trout.

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THE EFFECT OF BISPHENOL A ON THE THYROID HORMONE SYSTEM FOR THE ESTABLISHMENT OF SCREENING METHOD OF ENDOCRINE DISRUPTORS

  • Cho, Mi-Young;Lim, Myung-Sin;Lee, Young-Choi;Jung, Ki-Kyung;Nam, Kyung-Tak;Kim, Tae-Gyun;Kang, Ju-Hye;Kang, Seog-Youn;Kim, Seung-Hee
    • 한국독성학회:학술대회논문집
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    • 한국독성학회 2002년도 Molecular and Cellular Response to Toxic Substances
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    • pp.162-162
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    • 2002
  • There has been many findings of natural, environmental or manufactered nonsteroidal substances shown to have estrogenic activity. Since estrogens affect reproduction and cellular development to cause disease in people or animals, chronic exposure may have a major impact on health.(omitted)

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갑상샘기능저하증에 따른 생식샘기능저하증 모델 정립을 위한 제언 (How to design male hypothyroid hypogonadism model)

  • 윤상필;김정우
    • Journal of Medicine and Life Science
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    • 제16권1호
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    • pp.34-38
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    • 2019
  • Hypogonadism is a clinical syndrome that results in hormone deficiency and can be classified as 1) primary caused by the gonadal failure and 2) secondary by the hypothalamus-pituitary gland dysfunction and/or cardiometabolic complications. Recently the presence of thyroid hormone receptors in different testicular cell types was demonstrated, and thus thyroid dysfunctions would be another cause of secondary hypogonadism. Thus, we investigated the effects of perinatal hypothyroidism on hypogonadism in male Sprague-Dawley rats. Perinatal hypothyroidism was induced by daily administration of 0.05% 6-propyl-2-thiouracil (PTU) by tap water from gestation day 15, which were compared with negative control (PTU (-)) group. At postnatal day 28, hypothyroid pups were divided into 2 groups: PTU (+) group - continued PTU treatment and PTU (+/-) group - stopped PTU until postnatal day 49. Body weights, dehydrotesosterone (DHT), and testosterone levels were checked 2 and 3 weeks after grouping. Body weights were significantly decreased in PTU(+) and PTU(+/-) groups compared with PTU (-) group at postnatal day 28. 3 weeks later, PTU (+/-) group significantly gained weight compared with PTU (+) group. DHT and testosterone levels significantly decreased with PTU treatment, but increased 3 weeks after stopping PTU administration. Perinatal PTU-induced hypothyroid hypogonadism was sustained for 2 weeks after stopping PTU administration, but restored gonadal hormone levels 3 weeks after stopping PTU. These results suggest that researchers should design an experiment on hypothyroid hypogonadism based on the estimated period.

갑상선질환 환자의 요오드섭취량과 배설량 (Iodine Intake and Excretion of the Patients with Thyroid Disease)

  • 장남수
    • Journal of Nutrition and Health
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    • 제27권10호
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    • pp.1037-1047
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    • 1994
  • Dietary iodine intake and urinary iodide excretion were meassured from 110 patients with various thyroid hormone diseses(hypothyroidism, hyperthyroidism, simple goiter and thyroid adenoma) and 67 normal control subjects. Iodine intake was assessed on the 24-hour recall dietary data using the compiled lists of food iodine values developed from various countries. Urinary iodide concentrations of drink water samples were measured with the iodide-selective electrode. The average iodine intake of the thyroid patients was 411$\mu\textrm{g}$, which was 87% higher(p<0.05) than that of the control subjects(220$\mu\textrm{g}$). Patients with hyperthyroidism and hypothyroidism or simple goiter excreted the most(0.6442ppm) amount of iodide respectively in the urine, with the control subject in the middle(0.5229ppm). Iodide concentrations of the drinking water samples were found to be in the range of 0.0015ppm to 0.0214ppm, which seemed to vary depending on the kind(underground water vs public water) and the location.

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난소절제로 유발된 골다공증 시 흰쥐 갑상샘에 대한 조직학적 및 면역조직화학적 연구 (Histological and Immunohistological Studies of the Thyroid Glands of the Osteoporotic Rats Induced by Ovariectomy)

  • 김대영;구세광;이재현;장인호;이형식
    • 한국임상수의학회지
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    • 제15권2호
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    • pp.235-241
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    • 1998
  • In order to investigate the histological and immunohistochemical changes of thyroid glands, and serum osteocalcini estradiol, pmgesterone, follicular-stimulating hormone (FSH), and calcium levels in the osteoporotic rats induced by ovariectomy, normal(sham-operated group) and experimental groups(ovariectomized group) were divided. The experimental groups were subdivide6 to 5, 10, 15, and 20 weeks after ovariectomized groups. The histological structure of the thyroid gland were observed in normal structure throughout all experimental periods but the calcitonin-immunoreartive cells in the experimental groups were significantly decreased compared with normal groups and degranulations of calcitonin-immunoreactive cells were observed. Theses numbers were decreased with time after ovariectomy. However, the serum osteocalcin and FSH levels of experimental groups were significantly increased compared with normal groups and these levels were increased along with time after ovariectomy, but serum estradiol, progestemn and calcium levels of experimental group were significantly decreased compared with normal groups and these levels were decreased with time after ovariectomy.

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방사선 동위원소 I-131을 이용한 요드의 IN VIVO 대사 연구 (The Study of Iodine Metabolism IN VIVO Utilizing I-131)

  • 변시명
    • Applied Biological Chemistry
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    • 제19권2호
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    • pp.70-74
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    • 1976
  • Thyroid hormone의 생합성반응기작을 알아보기 위하여 방사선 I-131을 쥐에 주사한 후 thyroid gland을 분리하여 분석하였다. Pancreatin viokase를 처리하여 분리한 요드화합물을 여지 크로마토그라피로 분리 동정하고 이를 radioautography로 분석한 결과 I-131은 주사후 바로 쥐의 체내에서 흡수되어 monoiodotyrosine이 되고 이것은 diiodotyrosine으로 전환됨을 관찰하였다. 실험결과는 diiodotyrosine은 thyroxine 생합성에 있어서 중간생성물이나 반면 triiodothyronine은 오히려 분해산물임을 보여 주었다. 또한 환원제인 propylthiouracil을 투여한 쥐에서 iodine의 체내집적현상(Iodine Pump)은 현저히 증가하였으나 유기 요도화합물을 전환되는 것을 저하였다.

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