中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
34期
18-20
,共3页
老年病%卧床患者%感染%正常甲状腺病态综合征
老年病%臥床患者%感染%正常甲狀腺病態綜閤徵
노년병%와상환자%감염%정상갑상선병태종합정
Senile diseases%Bedridden patients%Infection%Euthyroid sick syndrome
目的：探讨老年卧床感染患者甲状腺激素水平与病情严重程度及预后的关系。方法用放射免疫法测定48例老年卧床感染患者(卧床组)血浆三碘甲状腺原氨酸(T3)、甲状腺素(T4)及促甲状腺素(TSH)水平，并与45例非卧床老年感染患者(对照组)作比较，观察两组的差异性。结果与对照组比较，卧床患者T3、T4均明显降低，差异有统计学意义(P<0.01)， TSH两组比较，差异无统计学意义(P>0.05)。卧床组中死亡12例，其T3、T4水平均明显低于该组中成活者，差异有统计学意义(P<0.01)。结论老年卧床患者中存在正常甲状腺功能病态综合征，并可作为预后不良的指标。
目的：探討老年臥床感染患者甲狀腺激素水平與病情嚴重程度及預後的關繫。方法用放射免疫法測定48例老年臥床感染患者(臥床組)血漿三碘甲狀腺原氨痠(T3)、甲狀腺素(T4)及促甲狀腺素(TSH)水平，併與45例非臥床老年感染患者(對照組)作比較，觀察兩組的差異性。結果與對照組比較，臥床患者T3、T4均明顯降低，差異有統計學意義(P<0.01)， TSH兩組比較，差異無統計學意義(P>0.05)。臥床組中死亡12例，其T3、T4水平均明顯低于該組中成活者，差異有統計學意義(P<0.01)。結論老年臥床患者中存在正常甲狀腺功能病態綜閤徵，併可作為預後不良的指標。
목적：탐토노년와상감염환자갑상선격소수평여병정엄중정도급예후적관계。방법용방사면역법측정48례노년와상감염환자(와상조)혈장삼전갑상선원안산(T3)、갑상선소(T4)급촉갑상선소(TSH)수평，병여45례비와상노년감염환자(대조조)작비교，관찰량조적차이성。결과여대조조비교，와상환자T3、T4균명현강저，차이유통계학의의(P<0.01)， TSH량조비교，차이무통계학의의(P>0.05)。와상조중사망12례，기T3、T4수평균명현저우해조중성활자，차이유통계학의의(P<0.01)。결론노년와상환자중존재정상갑상선공능병태종합정，병가작위예후불량적지표。
Objective To investigate the relationship between thyroid hormone level and the severity and prognosis of disease of the senile bedridden infected patients. Methods The levels of plasma triiodothyronine(T3), thyroxine (T4) and thyrotropin (TSH) were detected by radioimmunoassay in 48 cases of senile bedridden infected patients. A comparison was made on the levels of T3, T4, and TSH between this group and 45 senile non-bedridden infected patients. Results Compared with the control group, the T3 and T4 levels in bedridden patients were obviously decreased, and difference had statistical significant (P<0.01). TSH showed no significant difference between the two groups (P>0.05). There were 12 death cases in the bedridden group, whose T3 and T4 levels were significantly lower than the survivors, and the difference had statistical significance (P<0.01). Conclusion Euthyroid sick syndrome exists in the senile bedridden infected patients, and it can be used as an indicator of poor prognosis.
