摘要
目的探讨慢性左心功能不全患者进行甲状腺素水平测定的临床意义。方法对203例入选的慢性左心功能不全急性发作患者治疗前进行甲状腺素水平测定,按照甲状腺素水平分为甲状腺素水平正常组和减低组。观察两组3d内心功能改善情况;在心功能改善后出院前再次测定甲状腺素水平,对比观察治疗前后甲状腺素水平变化。结果甲状腺素水平正常组和降低组3d内心功能改善率相比无统计学意义(χ2=7.17,P>0.05);心功能改善前后患者甲状腺素水平相比较有统计学意义(t=3.38,P<0.05)。讨论甲状腺素水平与慢性左心功能不全患者的病情有相关性,与心功能的改善情况也有相关性,具体机制尚需要进一步探讨。
Objective To investigate the clinical significance of thyroid hormone level in patients with chronic left ventricular insuf- ficiency. Methods Thyroid hormone levels in 203 patients with chronic left ventricular function insufficiency were measured before the treatment of acute exacerbation. All cases were divided into normal group and abnormal group based on the level of thyroid hor- mone. Heart function was observed for three days, then thyroxine levels were measured again. Results There was difference significantly in the rate of improvement of cardiac function within three days between two groups （X^2=7.17 ,P〈0.05）. The levels of thy- roid hormone were different significantly （t=3.38,P〈0.05）. Conclusion There were some relationships between the level of thy roid hormone and the state of chronic left ventricular insufficiency,but the exact mechanism needed further exploration.
出处
《中西医结合心脑血管病杂志》
2013年第3期276-277,共2页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
慢性左心功能不全
甲状腺素
急性发作
chronic left ventricular insufficiency
thyroxine
acute exacerbation
