CAJ | 학술논문

目的：调查我院住院心脑血管病患者甲状腺疾病的患病情况。方法回顾性分析2013年4月~2015年2月在我院内五科住院治疗的295例心脑血管病患者的甲状腺功能。结果295例心脑血管病患者中甲状腺疾病患病率为29.15豫，女性38.26豫，男性19.86豫。其中甲亢0.34%，亚甲亢1.36%，甲减3.39%，亚甲减24.07%。203例检测甲状腺抗体的心脑血管病患者中，甲状腺抗体(TPOAb或TgAb)阳性率为12.32豫，其中女性18.18豫，男性6.73豫。女性心脑血管病患者甲状腺疾病的患病率及甲状腺抗体的阳性率明显高于男性(P<0.05)。高血压患者甲状腺疾病的患病率(33.70%)高于血压正常者(21.93%)(P<0.05)。有颈动脉斑块患者的促甲状腺素水平[(5.5±0.8)mIU/L]高于无颈动脉斑块患者[(3.4±1.0)mIU/L]，差异有统计学意义(P<0.05)。结论心脑血管病患者的甲状腺疾病患病率高，对于心脑血管病患者积极检测甲状腺功能很有必要。
목적：조사아원주원심뇌혈관병환자갑상선질병적환병정황。방법회고성분석2013년4월~2015년2월재아원내오과주원치료적295례심뇌혈관병환자적갑상선공능。결과295례심뇌혈관병환자중갑상선질병환병솔위29.15예，녀성38.26예，남성19.86예。기중갑항0.34%，아갑항1.36%，갑감3.39%，아갑감24.07%。203례검측갑상선항체적심뇌혈관병환자중，갑상선항체(TPOAb혹TgAb)양성솔위12.32예，기중녀성18.18예，남성6.73예。녀성심뇌혈관병환자갑상선질병적환병솔급갑상선항체적양성솔명현고우남성(P<0.05)。고혈압환자갑상선질병적환병솔(33.70%)고우혈압정상자(21.93%)(P<0.05)。유경동맥반괴환자적촉갑상선소수평[(5.5±0.8)mIU/L]고우무경동맥반괴환자[(3.4±1.0)mIU/L]，차이유통계학의의(P<0.05)。결론심뇌혈관병환자적갑상선질병환병솔고，대우심뇌혈관병환자적겁검측갑상선공능흔유필요。
Objective To investigate the prevalence of thyroid disease in hospitalized patients with cardio-cerebral vascular diseases in our hospital. Methods From April 2013 to February 2015,the thyroid functions in 295 patients with cardio-cerebral vascular diseases in 5th department of our hospital were retrospectively analyzed. Results Among all these participants,the morbidity of thyroid diseases was 29.15%,female was 38.26% and male was 19.86%,of which hyperthyroidism was 0.34%,sub-hyperthyroidism was 1.36%,hypothyroidism was 3.39%,and sub-hypothyroidism was 24.07%.Thyroid antibodies in 203 patients with cardio-cerebral vascular diseases were detected,and the positive rate (TPOAb or TgAb) was 12.32%,female was 18.18% and male was 6.73%.The morbidity of thyroid diseases and positive rate of thyroid antibody in these female patients with cardio-cerebral vascular diseases were much higher than those in male patients (P<0.05).The morbidity of thyroid diseases in hyperactive patients was 33.70%,which was higher than that in patients with normal blood pressure accounting for 21.93%(P<0.05).The level of thyroid stimulating hormone in patients with carotid plaque was higher in comparison with those without plaque with significant difference [(5.5±0.8) mIU/L vs (3.4±1.0) mIU/L, P<0.05]. Conclusion The morbidity of thyroid disease in patients with cardio-cerebral vascular dis-eases is higher,which is necessary for those patients to actively test thyroid function.