老年住院患者甲状腺功能异常状况及相关因素分析  

Analysis on Conditions of Thyroid Dysfunction and Related Risk Factors in Aged Inpatients

作　　者：乐忠宏[1] 

机构地区：[1]河南省焦作市人民医院内5科,河南焦作454002

出　　处：《山西中医学院学报》2013年第4期59-60,共2页Journal of Shanxi College of Traditional Chinese Medicine

摘　　要：目的：了解老年住院病人人群甲状腺功能异常的情况及相关因素分析。方法：以156例老年科住院的70岁。93岁的老年患者为研究对象，检测血清游离三碘甲状腺原氨酸（FT3）、总三碘甲状腺原氨酸（TT3）、游离甲状腺素（FT4）、促甲状腺激素（TSH）、反三碘甲状腺原氨酸（rT1）、血清白蛋白（ALB）、胆固醇（CHO）水平及甲状腺过氧化物酶抗体（TPOAb）和甲状腺球蛋白抗体（TgAb）含量。结果：老年住院人群总的甲功异常率高达51．8％，儿水平与老年住院人群住院期间死亡率呈正相关（P〈0．01），血清ALB、CHO值与rT3呈负相关（P〈0．01）。结论：rT3能反应机体的健康状况，临床上应注意观察高龄老年人血儿的变化。Objective ：To explore conditions of thyroid dysfunctionin and related risk factors in aged inpatients. Methods ： 156 inpatients aged 70~93 were enrolled. Contents of serum free triiodothyronine（FT3）,totalthree triiodothyronine（TT3）,free thyroxine（FTn）,thyroid stimulatinghormone（TSH）,reverse triiodothyronine（rTa）,serum albumin（ALB）,cholesterol（CHO）, thyroid peroxidase antibodies （TPOAb） and thyroid glohulinantibody （TgAb）were examined. Results ： Total thyroid dysfunc- tion rate of the aged inpatients was as high as 51.8% ,and the level of rT3 was positively correlated with mortalityduring hospitalization （P〈0.01）,contents of serum ALB and CHO were negatively correlated with rT3 （P〈0.01）. Conclusion ：rT3 level could react the body＇s health status. Changes of rT3 in aged people blood should be clinically observed.

关 键 词：甲状腺功能异常 老年人 相关因素 

分 类 号：R581[医药卫生—内分泌]