急性心肌梗死患者甲状腺功能检测的临床价值  

Clinical Value of Detection of Thyroid Function in Patients with Acute Myocardial Infarction

作　　者：季小忠[1] 

机构地区：[1]南通大学附属海安医院,江苏海安226600

出　　处：《标记免疫分析与临床》2014年第6期665-667,共3页Labeled Immunoassays and Clinical Medicine

摘　　要：目的探讨急性心肌梗死患者甲状腺功能检测的临床意义。方法回顾性分析72例急性心肌梗死(AMI)患者的血清甲状腺激素水平,以30例健康的退休职工为对照组。结果急性心肌梗死组有4例合并有甲状腺疾病,34例出现正常甲状腺功能病态综合征,急性心肌梗死组(68例)与对照组相比血清总三碘甲状腺原氨酸(TT_3)下降,差异有统计学意义(P<0.001),总甲状腺素(TT_4),游离三碘甲状腺原氨酸(FT_3)下降也有显著性差异(P<0.01),游离甲状腺素(FT_4),促甲状腺素(TSH)与对照组比较差异无统计学意义(P>0.05)。结论对于急性心肌梗死患者,应该常规检测甲状腺功能,以便更好的进行治疗和预后判断。Objective To investigate the clinical value of thyroid function tests in patients with acute myocardial infarction. Methods A retrospective analysis of serum thyroid hormone levels in 72 cases of acute myocardial infarction （AMI） patients and 30 healthy controls of retired workers were carried out. Results In the acute myocardial infarction group, 4 patients were associated with thyroid disease, 34 cases appeared to have euthyroid sick syndrome. As compared with the control group, 68 cases of patients in the acute myocardial infarction group had declined in serum TT3 with significant difference（P 〈0.001 ）, and the levels of TT4 and TT3 were also declined with significantly difference（ P 〈 0.01 ）. There was no significant difference with respect to the serum levels of FT4 and TSH （ P 〉 0.05 ）. Conclusion The thyroid function in patients with acute myocardial infarction should be routine detected in order to have a better treatment and prognosis.

关 键 词：急性心肌梗死 正常甲状腺功能病态综合征 甲状腺激素 

分 类 号：R542.22[医药卫生—心血管疾病]