CAJ | 학술논문

目的：观察环磷腺苷对合并心肌酶改变的原发性甲状腺功能减退症的治疗效果。方法：84例原发甲减伴心肌酶增高患者随机分为环磷腺苷组和常规治疗组，观察两组患者治疗前后心肌酶和甲状腺功能的变化。结果：治疗后两组患者的甲状腺功能比较差异无统计学意义(P＞0.05)。治疗后两组患者的心肌酶均较治疗前有所改善；并且，环磷腺苷组患者治疗后心肌酶的改善情况明显优于常规治疗组治疗后，差异具有统计学意义(P＜0.01)。结论：环磷腺苷可显著改善甲减合并心肌酶学异常患者的心肌酶水平。
목적：관찰배린선감대합병심기매개변적원발성갑상선공능감퇴증적치료효과。방법：84례원발갑감반심기매증고환자수궤분위배린선감조화상규치료조，관찰량조환자치료전후심기매화갑상선공능적변화。결과：치료후량조환자적갑상선공능비교차이무통계학의의(P＞0.05)。치료후량조환자적심기매균교치료전유소개선；병차，배린선감조환자치료후심기매적개선정황명현우우상규치료조치료후，차이구유통계학의의(P＜0.01)。결론：배린선감가현저개선갑감합병심기매학이상환자적심기매수평。
Objective:To observe the therapeutic effects of adenosine cyclophosphate on primary hypothyroidism combinedmyocardialenzymechanges.Methods:84 cases primary hypothyroidism combined myocardial enzyme increasing patientswererandomlydividedintoadenosinecyclophosphategroup(42cases)androutinegroup(42cases).Themyocardial enzyme and thyroid function of all the patients before and after treatment were respectively detected.Results:The thyroid function of patients in two groups had no statistically significance after treatment (P>0.05). The myocardial enzyme of patients in two groups were all improved after treatment compared with that before treatment;Moreover, the improvement of myocardial enzyme of patients in adenosine cyclophosphate group after treatment was superior to that of patients in routine group after treatment (P<0.01). Conclusions:Adenosine cyclophosphate can obviously improve the myocardial enzyme level of patientswithprimaryhypothyroidismcombined abnormal myocardial enzymology.