中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
6期
1049-1050
,共2页
内科危重病%甲状腺激素%临床意义
內科危重病%甲狀腺激素%臨床意義
내과위중병%갑상선격소%림상의의
Department of internal medicine critical disease%Thyroid hormones%Clinical significance
目的：分析内科危重病患者病程中甲状腺激素检测结果,探讨其应用价值。方法：选择80例内科危重病患者作为研究对象,按照1：1比例选择80例体检者作为对照对象,均清晨空腹安静状态抽取静脉血2~3ml,分离血清采用RIA测定血清中T3、T4、FT3、FT4的浓度,IRMA测定TSH浓度。结果：内科危重病患者入院时T3、FT3低于健康体检组(P<0.05),T3、FT3低于正常水平50例(62.50%)；80例内科危重病患者死亡15例,死亡组患者T3、FT3、T4、FT4均低于存活患者(P<0.05)；经治疗65例好转出院时T3、FT3均高于80例入院时水平(P<0.05)。结论：内科危重病患者病程中存在着低甲状腺激素综合征,血清T3、T4水平反映疾病严重程度,可作为一项观察疗效和估计预后的指标,应常规检查,并注意动态检测。
目的：分析內科危重病患者病程中甲狀腺激素檢測結果,探討其應用價值。方法：選擇80例內科危重病患者作為研究對象,按照1：1比例選擇80例體檢者作為對照對象,均清晨空腹安靜狀態抽取靜脈血2~3ml,分離血清採用RIA測定血清中T3、T4、FT3、FT4的濃度,IRMA測定TSH濃度。結果：內科危重病患者入院時T3、FT3低于健康體檢組(P<0.05),T3、FT3低于正常水平50例(62.50%)；80例內科危重病患者死亡15例,死亡組患者T3、FT3、T4、FT4均低于存活患者(P<0.05)；經治療65例好轉齣院時T3、FT3均高于80例入院時水平(P<0.05)。結論：內科危重病患者病程中存在著低甲狀腺激素綜閤徵,血清T3、T4水平反映疾病嚴重程度,可作為一項觀察療效和估計預後的指標,應常規檢查,併註意動態檢測。
목적：분석내과위중병환자병정중갑상선격소검측결과,탐토기응용개치。방법：선택80례내과위중병환자작위연구대상,안조1：1비례선택80례체검자작위대조대상,균청신공복안정상태추취정맥혈2~3ml,분리혈청채용RIA측정혈청중T3、T4、FT3、FT4적농도,IRMA측정TSH농도。결과：내과위중병환자입원시T3、FT3저우건강체검조(P<0.05),T3、FT3저우정상수평50례(62.50%)；80례내과위중병환자사망15례,사망조환자T3、FT3、T4、FT4균저우존활환자(P<0.05)；경치료65례호전출원시T3、FT3균고우80례입원시수평(P<0.05)。결론：내과위중병환자병정중존재착저갑상선격소종합정,혈청T3、T4수평반영질병엄중정도,가작위일항관찰료효화고계예후적지표,응상규검사,병주의동태검측。
Analysis of thyroid hormone in patients with critical diseases in Department of internal medicine of test results,to explore the application value of.Methods:80 cases of Department of internal medicine in critically ill patients as the research object,according to the 1:1 ratio of 80 healthy persons as control object,were empty and quiet state of venous blood concentrations of 2~3ml,RIA in serum were determined by T3,T4,FT3,FT4 serum separation,concentration of TSH was determined by IRMA.Results:Patients admitted to Department of internal medicine in critically ill T3,FT3 lower than that of healthy controls (P<0.05),T3,FT3 lower than normal in 50 cases (62.50%);80 patients of Department of internal medicine in critically ill patients died in 15 cases,death in patients in group T3,FT3,T4 and FT4 were lower than the survival of patients (P<0.05);after treatment for 65 patients improved discharge T3,FT3 were higher than that of 80 cases of admission levels (P<0.05).Conclusion:The critically ill patients in the Department of internal medicine has low thyroid hormone syndrome,serum T3,T4 levels reflect the severity of the disease,can be used as an observation of curative effect and estimate prognosis,should be the routine examination,and pay attention to dynamic detection.
