老年医学与保健2017，Vol.23Issue(4)：341-343,3.
老年慢性阻塞性肺疾病急性加重期甲状腺激素水平及影响因素分析
Analysis of Thyroid Hormone Levels in Elderly Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease and the Influence Factors
摘要
Abstract
Objective To investigate the thyroid function in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and the related influence factors.Methods 200 patients with AECOPD hospitalized during the period from Jan.1,2016 to Jan.1,2017 were enrolled in the study,and all the patients were inquired about the past history of hormone application and smoking at admission;on the second day after admission,blood gas analysis,the detection of serum levels of thyroid hormones,CRP and fasting blood glucose were made to all the patients and pulmonary function test was performed when patients were in stabilized condition.Results 34 ％ patients with AECOPD had hypothyroidism,mainly with the decrease of FT3 and TT3 while no obvious changes were found in TT4 and FT4;FT3 was negatively correlated to age,CRP and FVC while positively to the application of hormone before admission;TT3 was in negative correlation with GOLD grading but in positive correlation with TT3/TT4 and FT3.Conclusions The levels of FT3 and TT3 are low in patients with AECOPD,which is in certain correlation with age,CRP,FVC and the application of hormone.关键词
慢性阻塞性肺疾病急性加重期/甲状腺激素/肺功能Key words
acute exacerbation of chronic obstructive pulmonary disease (AECOPD)/thyroid hormone/pulmonary function test引用本文复制引用
徐春燕,郭水根,沈瑶..老年慢性阻塞性肺疾病急性加重期甲状腺激素水平及影响因素分析[J].老年医学与保健,2017,23(4):341-343,3.基金项目
上海市浦东新区卫生系统学科带头人培养计划(PWRd2015-03) （PWRd2015-03）
