82例老年慢性充血性心力衰竭患者血清T3水平变化临床分析  

82 cases of patients with chronic congestive heart failure clinical analysis of levels of serum T3

作　　者：杨冬 袁鹏 陈新建 

机构地区：[1]山东省青岛市胶州中心医院心血管内科,山东青岛266300

出　　处：《中国当代医药》2010年第26期33-35,共3页China Modern Medicine

摘　　要：目的:探讨老年慢性充血性心力衰竭(CHF)患者血清甲状腺激素T3水平变化及其临床意义。方法:测定82例CHF患者血清三碘甲状腺原氨酸(T3)的变化,并与对照组进行比较。结果:老年慢性充血性心力衰竭患者存在正常甲状腺功能病态综合征(ESS),且T3水平与心力衰竭的程度密切相关,轻度CHF患者甲状腺激素无明显变化,重度CHF患者T3明显降低;T3愈低心力衰竭愈重,心力衰竭越重T3变化越明显,CHF愈不易纠正,且死亡率高,心力衰竭减轻后T3明显升高;T3水平与心功能级别呈负相关。结论:血清T3水平的变化对判断CHF严重程度、CHF患者的心功能损害程度、其治疗效果和预后的判断有一定的临床指导意义,检测血清甲状腺激素T3水平可作为间接判断CHF病情的基本指标;T3可以预测心力衰竭患者的预后,同时纠正甲状腺激素的异常可以作为心力衰竭治疗的新的有效途径。Objective：To investigate the chronic congestive heart failure（CHF） in patients with serum levels of thyroid hormone T3 and its clinical significance. Methods：82 patients with CHF patients with three-triiodothyronine （T3） changes,compared with the control group. Results：Elderly patients with chronic congestive heart failure there was the sick euthyroid syndrome（ESS）,and T3 levels were closely associated with heart failure,mild CHF patients with no significant changes in thyroid hormones,T3 in patients with severe CHF significantly decreased; T3 more Low heart failure,the greater the more severe heart failure more obvious changes in T3,CHF more difficult to correct,and high mortality,failure to reduce significantly increased after T3; T3 levels and heart function levels were negatively correlated. Conclusion：The serum T3 levels in judging the severity of CHF,CHF patients with cardiac damage and its treatment and prognosis have some clinical significance,detection of serum thyroid hormone T3 level may indirectly determine the CHF condition basic indicators; T3 can predict the prognosis of patients with heart failure,while correcting the abnormal thyroid hormone can be used as the new heart failure treatment an effective way.

关 键 词：慢性心力衰竭 甲状腺激素 血清三碘甲状腺原氨酸 

分 类 号：R541.61[医药卫生—心血管疾病]