老年住院病人67例甲状腺功能异常分析  

Analysis of abnormal thyroid function in 67 elderly inpatients

作　　者：杨宗秀[1] 

机构地区：[1]自贡市第三人民医院,四川自贡6430020

出　　处：《现代医药卫生》2010年第9期1307-1308,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨因各种非甲状腺疾病入院的老年病人的甲状腺功能状况。方法:67例非甲状腺病人在入院第二天晨均抽空腹静脉血查T3、T4、FT3、FT4和TSH。结果:筛查出临床甲减3例(4.47%),亚临床甲减6例(8.95%),另有TSH>4.0mU/L7例(10.44%)。出现不同程度的T3/FT3降低40例,其中低T3综合征2例。结论:在老年住院病人中,甲状腺功能异常尤其是亚临床甲状腺功能减低是一种发病率高但又很容易被漏诊的疾病,同时T3/FT3降低的程度也和疾病的严重程度及预后有一定关系。Objective：To explore the thyroid functional status in elderly inpatients with various non-thyroid diseases. Methods：In 67 in patients with non-thyroid diseases,fasting venous blood were drawn to detect T3 T4 FT3 FT4 and TSH on the next morning of admis-sion. Results：Clinical hypothyroidism was screened out in 3 cases （4.47%）,subclinical hypothyroidism in six cases （8.95%）,TSH〉 4.0 mU/L in 7 cases （10.44%）. There were 40 cases with different degrees of T3/FT3 reduction,among them low-T3 syndrome in 2 cases. Conclusion：In elderly patients,the thyroid dysfunction,especially sub-clinical hypothyroidism has a high incidence but the disease can easily be missed,T3/FT3 reduced degree has certain relationship with disease severity and prognosis.

关 键 词：老年住院病人 临床甲减 亚临床甲减 

分 类 号：R5[医药卫生—内科学]