甲亢性心脏病心胸比例扩大的危险因素分析  

Analysis of Risk Factors of Thyrotoxic Heart Disease with Cardiothoracic Ratio Expansion

作　　者：黎南中[1] 程时武[1] 谢纹[1] 原春玲[1] 何燮勇[1] 王磊[1] 文玉梅[1] 昭丽[1] 潘素琼[1] 

机构地区：[1]中国人民解放军第303医院内分泌科,南宁市530021

出　　处：《广西医学》2011年第9期1118-1120,共3页Guangxi Medical Journal

基　　金：广西医药卫生科学研究基金资助项目(Z2009403)

摘　　要：目的探讨对甲状腺功能亢进(甲亢)性心脏病心胸比例扩大发生的危险因素。方法通过对285例甲亢进行统计分析,其中将118例甲亢性心脏病的心胸比例扩大作为因变量,把性别、年龄、病程、常见的甲亢病因及FT3、FT4等多个因素进行多个自变量的Logistic逐步回归分析。结果发现增龄诱发心胸比例扩大的危险性高达1.057倍,而FT4增加的危险性高达1.028倍。结论年龄、FT4浓度是甲亢患者出现心胸比例扩大的独立危险因素,及时针对性治疗,对预防或减少的甲亢患者心胸比例扩大有益。Objective To explore the risk factors of thyrotoxic heart disease with cardiothoracic ratio expansion. Methods 285 cases of hyperthyroidism,in which cardiothoracic ratio expansion of 118 thyrotoxic heart disease patients were considered as the dependent variable and gender,age,course of disease,a common cause of hyperthyroidism and FT3, FT4 and other factors as the multiple independent variables, which were analyzed by the Logistic regression. Results The following factors were associated with the risk of cardiothoracic ratio expansion ： age （ OR = 1. 057 ）, FT4 （ OR = 1. 028 ）. Conclusion Age and FT4 were the independent risk factors of thyrotoxic heart diseases with cardiothoracic ratio expansion. Curing thyrotoxic heart diseases timely and targetedly will be beneficial to prevent or to decrease the incidence of hyperthyroid patients with cardiothoracic ratio expansion.

关 键 词：甲状腺功能亢进症 甲状腺功能亢进性心脏病 危险因素 心胸比例扩大 LOGISTIC回归 

分 类 号：R581.1[医药卫生—内分泌]