中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2011年
2期
211-213
,共3页
种冠峰%高杰%马玉琴%梁华举%张霞%骆效宏%相有章
種冠峰%高傑%馬玉琴%樑華舉%張霞%駱效宏%相有章
충관봉%고걸%마옥금%량화거%장하%락효굉%상유장
甲状腺功能亢进症%心脏病%危险因素
甲狀腺功能亢進癥%心髒病%危險因素
갑상선공능항진증%심장병%위험인소
Hyperthyroidism%Heart diseases%Risk factor
目的 探讨甲状腺功能亢进(简称甲亢)性心脏病发生的危险因素,为控制甲亢性心脏病的发生提供科学依据.方法 2010年3月选择自2000年以来在山东省甲状腺疾病防治中心住院的982例甲亢患者,依据是否并发心脏病分为单纯甲亢组和甲亢性心脏病组,就病因、性别、年龄、病程及游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺素(TSH)、促甲状腺激素受体抗体(TRAb)等因素进行比较,并采用Logistic回归方法对甲亢性心脏病发病相关因素进行分析.结果 甲亢患者并发甲亢性心脏病的患病率为7.7%(76/982),甲亢性心脏病组在年龄、病程、FT3和TRAb水平上分别为[(51.4±11.5)岁、(6.3±2.1)年、21.6pmol/L、71.6 U/L],单纯甲亢组为[(37.9±9.8)岁、(2.6±1.3)年、14.9 pmol/L、49.6 U/L],组间比较,差异有统计学意义(u=9.93、15.23,T=44954、48792.5,P均<0.05).年龄大、FT3,和TRAb水平高、病程长、毒性弥漫性甲状腺肿(相对危险度值分别为1.751、1.470、1.483、1.445、1.234)并发甲亢性心脏病的危险性大.结论 毒性弥漫性甲状腺肿、高龄、病程长、FT3和TRAb水平高是甲亢性心脏病的危险因素,及时预防和控制甲亢性心脏病的危险因素,减少甲亢性心脏病的发生与死亡.
目的 探討甲狀腺功能亢進(簡稱甲亢)性心髒病髮生的危險因素,為控製甲亢性心髒病的髮生提供科學依據.方法 2010年3月選擇自2000年以來在山東省甲狀腺疾病防治中心住院的982例甲亢患者,依據是否併髮心髒病分為單純甲亢組和甲亢性心髒病組,就病因、性彆、年齡、病程及遊離三碘甲狀腺原氨痠(FT3)、遊離甲狀腺素(FT4)、促甲狀腺素(TSH)、促甲狀腺激素受體抗體(TRAb)等因素進行比較,併採用Logistic迴歸方法對甲亢性心髒病髮病相關因素進行分析.結果 甲亢患者併髮甲亢性心髒病的患病率為7.7%(76/982),甲亢性心髒病組在年齡、病程、FT3和TRAb水平上分彆為[(51.4±11.5)歲、(6.3±2.1)年、21.6pmol/L、71.6 U/L],單純甲亢組為[(37.9±9.8)歲、(2.6±1.3)年、14.9 pmol/L、49.6 U/L],組間比較,差異有統計學意義(u=9.93、15.23,T=44954、48792.5,P均<0.05).年齡大、FT3,和TRAb水平高、病程長、毒性瀰漫性甲狀腺腫(相對危險度值分彆為1.751、1.470、1.483、1.445、1.234)併髮甲亢性心髒病的危險性大.結論 毒性瀰漫性甲狀腺腫、高齡、病程長、FT3和TRAb水平高是甲亢性心髒病的危險因素,及時預防和控製甲亢性心髒病的危險因素,減少甲亢性心髒病的髮生與死亡.
목적 탐토갑상선공능항진(간칭갑항)성심장병발생적위험인소,위공제갑항성심장병적발생제공과학의거.방법 2010년3월선택자2000년이래재산동성갑상선질병방치중심주원적982례갑항환자,의거시부병발심장병분위단순갑항조화갑항성심장병조,취병인、성별、년령、병정급유리삼전갑상선원안산(FT3)、유리갑상선소(FT4)、촉갑상선소(TSH)、촉갑상선격소수체항체(TRAb)등인소진행비교,병채용Logistic회귀방법대갑항성심장병발병상관인소진행분석.결과 갑항환자병발갑항성심장병적환병솔위7.7%(76/982),갑항성심장병조재년령、병정、FT3화TRAb수평상분별위[(51.4±11.5)세、(6.3±2.1)년、21.6pmol/L、71.6 U/L],단순갑항조위[(37.9±9.8)세、(2.6±1.3)년、14.9 pmol/L、49.6 U/L],조간비교,차이유통계학의의(u=9.93、15.23,T=44954、48792.5,P균<0.05).년령대、FT3,화TRAb수평고、병정장、독성미만성갑상선종(상대위험도치분별위1.751、1.470、1.483、1.445、1.234)병발갑항성심장병적위험성대.결론 독성미만성갑상선종、고령、병정장、FT3화TRAb수평고시갑항성심장병적위험인소,급시예방화공제갑항성심장병적위험인소,감소갑항성심장병적발생여사망.
Objective To study the risk factors of hyperthyroid heart diseases(HHD) by analyzing clinical features of patients in order to provide a scientific basis for prevention and treatment of HHD. Methods Nine hundred and eighty two cases were selected as objective from in-patient data of Thyroid Disease Treatment Centre of Shandong Province. The cases were divided into hyperthyroidism group and HHD group. The variables of etiology,sex, age, duration of disease, TSH, FT3, FT4 and TRAb were analyzed by comparative analysis. The risk factors were analyzed by logistic regression. Results The prevalence of hyperthyroidism complicated hyperthyroid heart disease was 7.7%(76/982), age, duration of diseases, FT3, TRAb in the HHD group were [(51.4 ± 11.5), (6.3 ±2.1) years, 21.6 pmol/L, 71.6 U/L], in hyperthyroidism group were [(37.9 ± 9.8), (2.6 ± 1.3) years, 14.9pmol/L, 49.6 U/L]. The differences were statistically significant(u = 9.93,15.23, T = 44954,48792.5, P < 0.05)between the two groups. The factors of the older, higher FT3 and TRAb, longer duration, Graves disease (OR =1.751,1.470,1.483,1.445,1.234) increased the risk of HHD. Conclusions Graves disease, longer duration, old age, higher FT3 and TRAb are the risk factors of HHD. Timely prevention and control of risk factors is necessary to reduce the incidence of HHD.