中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2015年
17期
7-9
,共3页
甲状腺激素%慢性心力衰竭%正常甲状腺功能病态综合征
甲狀腺激素%慢性心力衰竭%正常甲狀腺功能病態綜閤徵
갑상선격소%만성심력쇠갈%정상갑상선공능병태종합정
Thyroid hormone%Chronic heart failure%Euthyroid sick syndrome (ESS)
目的：：观察甲状腺激素水平与不同病因导致患者慢性心力衰竭程度的相关性。方法：150例慢性心力衰竭患者作为心衰组，根据病因不同再分为3个亚组即，高血压导致心衰组，陈旧心肌梗死导致心衰组，其他原因如风湿性心脏病、扩张性心肌病等导致心衰组，每组各50例。选取健康体检者50例作为对照组。应用化学发光法测定心衰组患者和对照组体检者的血清三碘甲状腺氨酸(T3)、甲状腺素(T4)、血清游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)及促甲状腺激素(TSH)值，比较各组间的差异。结果：心衰组患者 T3、FT3含量明显低于对照组，并且随着心衰的加重 T3、FT3渐下降，有统计学意义；而 FT4、T4、TSH 无差异。心衰组患者之间，每两组比较 T3、FT3下降程度上无显著差异。结论：T3、FT3水平下降程度与慢性心功能衰竭的严重程度存在相关性。
目的：：觀察甲狀腺激素水平與不同病因導緻患者慢性心力衰竭程度的相關性。方法：150例慢性心力衰竭患者作為心衰組，根據病因不同再分為3箇亞組即，高血壓導緻心衰組，陳舊心肌梗死導緻心衰組，其他原因如風濕性心髒病、擴張性心肌病等導緻心衰組，每組各50例。選取健康體檢者50例作為對照組。應用化學髮光法測定心衰組患者和對照組體檢者的血清三碘甲狀腺氨痠(T3)、甲狀腺素(T4)、血清遊離三碘甲狀腺原氨痠(FT3)、遊離四碘甲狀腺原氨痠(FT4)及促甲狀腺激素(TSH)值，比較各組間的差異。結果：心衰組患者 T3、FT3含量明顯低于對照組，併且隨著心衰的加重 T3、FT3漸下降，有統計學意義；而 FT4、T4、TSH 無差異。心衰組患者之間，每兩組比較 T3、FT3下降程度上無顯著差異。結論：T3、FT3水平下降程度與慢性心功能衰竭的嚴重程度存在相關性。
목적：：관찰갑상선격소수평여불동병인도치환자만성심력쇠갈정도적상관성。방법：150례만성심력쇠갈환자작위심쇠조，근거병인불동재분위3개아조즉，고혈압도치심쇠조，진구심기경사도치심쇠조，기타원인여풍습성심장병、확장성심기병등도치심쇠조，매조각50례。선취건강체검자50례작위대조조。응용화학발광법측정심쇠조환자화대조조체검자적혈청삼전갑상선안산(T3)、갑상선소(T4)、혈청유리삼전갑상선원안산(FT3)、유리사전갑상선원안산(FT4)급촉갑상선격소(TSH)치，비교각조간적차이。결과：심쇠조환자 T3、FT3함량명현저우대조조，병차수착심쇠적가중 T3、FT3점하강，유통계학의의；이 FT4、T4、TSH 무차이。심쇠조환자지간，매량조비교 T3、FT3하강정도상무현저차이。결론：T3、FT3수평하강정도여만성심공능쇠갈적엄중정도존재상관성。
Objective: To observe correlations of thyroid hormone level and severity of heart failure caused by different causes. Methods: 150 cases with heart failure were used as heart failure group and then could be divided into three subgroups, including hy-pertensive heart failure group, old myocardial infarction heart failure group and other heart failure group (rheumatic heart disease, di-lated cardiomyopathy and the like), with 50 cases in each subgroup. 50 healthy controls were selected as control group. The levels of T3, T4, FT3, FT4, TSH of the two groups were determined by chemiluminescence. The differences were compared between these groups. Results: The contents of T3 and FT3 of heart failure group were significantly lower than those of control group. It had been found that T3 and FT3 contents were gradually decreased as heart failure aggravated, and the differences were statistically significant. The contents of T4, FT4, and TSH had no significant differences. The comparison between the subgroups, there were no significant differences in the decrease degrees of T3 and FT3. Conclusions: There is a correlation between the decrease degrees of T3 and FT3 and severity of heart failure.
