心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
Chinese Journal of Cardiovascular Rehabilitation Medicine
2015年
5期
495-497
,共3页
心肌梗死%三碘甲状腺原氨酸%甲状腺素%促甲状腺素
心肌梗死%三碘甲狀腺原氨痠%甲狀腺素%促甲狀腺素
심기경사%삼전갑상선원안산%갑상선소%촉갑상선소
Myocardial infarction%Triiodothyronine%Thyroxine%Thyrotropin
目的:评价ST段抬高型急性心肌梗死(STEMI )、陈旧性心肌梗死(OMI )患者血清甲状腺激素水平变化的临床意义。方法:回顾性分析我院心内科住院STEMI患者(52例, STEMI组)和OMI患者(48例, OMI组)的临床资料,采用全自动微粒子化学发光分析仪定量检测两组甲状腺激素含量。结果:与OMI组比较, STEMI组血清游离三碘甲状腺原氨酸[FT3,(4.45±1.09) pmol/L 比(3.03±0.14) pmol/L ],游离甲状腺素[FT4,(18.53±3.89) pmol/L比(11.83±0.53) pmol/L]和促甲状腺素[TSH ,(1.85±1.04)μIU/L比(0.26±0.13)μIU/L]明显下降(P均<0.01)。结论:ST段抬高型急性心肌梗死患者甲状腺激素水平明显高于陈旧性心肌梗死患者,心肌梗死患者血清甲状腺激素水平可以反映冠脉血管病变的严重程度。
目的:評價ST段抬高型急性心肌梗死(STEMI )、陳舊性心肌梗死(OMI )患者血清甲狀腺激素水平變化的臨床意義。方法:迴顧性分析我院心內科住院STEMI患者(52例, STEMI組)和OMI患者(48例, OMI組)的臨床資料,採用全自動微粒子化學髮光分析儀定量檢測兩組甲狀腺激素含量。結果:與OMI組比較, STEMI組血清遊離三碘甲狀腺原氨痠[FT3,(4.45±1.09) pmol/L 比(3.03±0.14) pmol/L ],遊離甲狀腺素[FT4,(18.53±3.89) pmol/L比(11.83±0.53) pmol/L]和促甲狀腺素[TSH ,(1.85±1.04)μIU/L比(0.26±0.13)μIU/L]明顯下降(P均<0.01)。結論:ST段抬高型急性心肌梗死患者甲狀腺激素水平明顯高于陳舊性心肌梗死患者,心肌梗死患者血清甲狀腺激素水平可以反映冠脈血管病變的嚴重程度。
목적:평개ST단태고형급성심기경사(STEMI )、진구성심기경사(OMI )환자혈청갑상선격소수평변화적림상의의。방법:회고성분석아원심내과주원STEMI환자(52례, STEMI조)화OMI환자(48례, OMI조)적림상자료,채용전자동미입자화학발광분석의정량검측량조갑상선격소함량。결과:여OMI조비교, STEMI조혈청유리삼전갑상선원안산[FT3,(4.45±1.09) pmol/L 비(3.03±0.14) pmol/L ],유리갑상선소[FT4,(18.53±3.89) pmol/L비(11.83±0.53) pmol/L]화촉갑상선소[TSH ,(1.85±1.04)μIU/L비(0.26±0.13)μIU/L]명현하강(P균<0.01)。결론:ST단태고형급성심기경사환자갑상선격소수평명현고우진구성심기경사환자,심기경사환자혈청갑상선격소수평가이반영관맥혈관병변적엄중정도。
Objective:To evaluate clinical significance of change of serum thyroid hormone level in patients with ST elevation myocardial infarction (STEMI) and old myocardial infarction (OMI) .Methods :Clinical data of 52 STE‐MI patients (STEMI group) and 48 OMI patients (OMI group) hospitalized in our department of cardiology were retrospectively analyzed .Automatic chemiluminescent analyzer was used to quantitatively measure thyroid hormone levels in two groups .Results:Compared with OMI group ,there were significant reductions in serum levels of free triiodothyronine [FT3 ,(4.45 ± 1.09) pmol/L vs .(3.03 ± 0.14) pmol/L] ,free thyroxine [FT4 ,(18.53 ± 3.89) pmol/L vs .(11.83 ± 0.53) pmol/L] and thyrotropic‐stimulating hormone [TSH ,(1.85 ± 1.04)μIU/L vs .(0.26 ± 0.13)μIU/L] in STEMI group ,P<0.01 all .Conclusion:Thyroid hormone levels of STEMI patients are significant‐ly higher than those of OMI patients , serum thyroid hormone levels may reflect severity of coronary vessel lesions in patients with myocardial infarction.