武警医学Issue(10)：997-998,1002,3.
老年慢性心力衰竭患者甲状腺激素的变化及其临床意义
Changes and clinical significance of thyroid hormones function in elderly patients with chronic heart failure
周齐娜 1杜文娟2
作者信息
- 1. 550005 贵阳，武警贵州总队医院门诊部
- 2. 100853 北京，解放军总医院医务部药材处
- 折叠
摘要
Abstract
Objective To investigate the changes and clinical significance of thyroid hormones function in elderly patients with chronic heart failure.Methods A total of 76 elderly patients with chronic heart failure were divided into different groups according to NYHA categorization:NYHAⅡgroup (25 patients), NYHAⅢgroup (28 patients) and NYHA IV group (23 patients).Thirty non-heart failure elderly subjects served as control group.T3 , T4 , FT4 , FT3 , TSH were tested by radioimmunoassay.Results Compared with T3 and FT3 levels [(2.34 ±0.52)nmol/L and (4.27 ±0.64) pmol/L respectively] in control group, T3 and FT3 levels[(1.28 ±0.51) nmol/L and (3.01 ±0.78) pmol/L respectively] in NYHAⅡgroup were decreased (P<0.05);and with the deterioration of cardiac function functional class Ⅲ-Ⅳ (P<0.01), patients showed T3 and FT3 levels [ (0.87 ±0.43) nmol/L and (2.42 ± 0.61) pmol/L respectively] in NYHAⅢgroup, and [ (0.60 ±0.36) nmol/L and (2.09 ±0.71) pmol/L respectively ] in NYHA IV group.Conclusions T3 and FT3 play an important role in chronic heart failure, can serve as the early predictors in elderly patients with chronic heart failure.关键词
老年患者/慢性心力衰竭/甲状腺激素/临床意义Key words
elderly patients/chronic heart failure/thyroid hormones/clinical significance分类
临床医学引用本文复制引用
周齐娜,杜文娟..老年慢性心力衰竭患者甲状腺激素的变化及其临床意义[J].武警医学,2014,(10):997-998,1002,3.
