老年卧床感染患者的正常甲状腺功能病态综合征  

Euthyroid sick syndrome in senile bedridden infected patients

作　　者：杨月花 刘全中[2] 

机构地区：[1]广州市民政局精神病院综合科,510430 [2]武警广东总队医院ICU

出　　处：《中国实用医药》2014年第34期18-20,共3页China Practical Medicine

摘　　要：目的探讨老年卧床感染患者甲状腺激素水平与病情严重程度及预后的关系。方法用放射免疫法测定48例老年卧床感染患者(卧床组)血浆三碘甲状腺原氨酸(T3)、甲状腺素(T4)及促甲状腺素(TSH)水平,并与45例非卧床老年感染患者(对照组)作比较,观察两组的差异性。结果与对照组比较,卧床患者T3、T4均明显降低,差异有统计学意义(P<0.01),TSH两组比较,差异无统计学意义(P>0.05)。卧床组中死亡12例,其T3、T4水平均明显低于该组中成活者,差异有统计学意义(P<0.01)。结论老年卧床患者中存在正常甲状腺功能病态综合征,并可作为预后不良的指标。Objective To investigate the relationship between thyroid hormone level and the severity and prognosis of disease of the senile bedridden infected patients. Methods The levels of plasma triiodothyronine（T3）, thyroxine （T4） and thyrotropin （TSH） were detected by radioimmunoassay in 48 cases of senile bedridden infected patients. A comparison was made on the levels of T3, T4, and TSH between this group and 45 senile non-bedridden infected patients. Results Compared with the control group, the T3 and T4 levels in bedridden patients were obviously decreased, and difference had statistical significant （P〈0.01）. TSH showed no significant difference between the two groups （P〉0.05）. There were 12 death cases in the bedridden group, whose T3 and T4 levels were significantly lower than the survivors, and the difference had statistical significance （P〈0.01）. Conclusion .Euthyroid sick syndrome exists in the senile bedridden infected patients, and it can be used as an indicator of poor prognosis.

关 键 词：老年病 卧床患者 感染 正常甲状腺病态综合征 

分 类 号：R581[医药卫生—内分泌]