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目的探讨老年人群甲状腺功能状态及其相关的影响因素,为临床老年人急慢性疾病的诊断与预防提供依据。方法研究组320例老年患者和对照组300例年轻患者均检测甲状腺功能性指标,并将研究组患者划分为呼吸系统疾病、心脑血管疾病、临床浮肿类疾病、其他类疾病4大类进行比较。结果研究组患者TT3、FT3、FT4、rT3、TSH异常患者比例明显高于对照组,数据经统计学比较差异有统计学意义(P﹤0.05)。呼吸系统疾病患者、心脑血管疾病患者甲状腺功能指标异常患者比例明显高于临床浮肿类疾病和其他类疾病,数据经统计学比较差异有统计学意义(P﹤0.05)。结论老年期患者甲状腺异常发生率明显高于年轻人,而甲状腺功能的异常在呼吸系统疾病和心脑血管疾病患者中占有较大影响比例,临床应全面检测患者甲状腺功能的各项指标,并结合患者和临床疾病情况进行治疗方案的综合制定,以提高治疗效果和患者的生活质量。
Objective To investigate the status of thyroid function and its related factors in elderly population and provide evidence for the diagnosis and prevention of acute and chronic diseases in the elderly. Methods The study group of 320 elderly patients and control group of 300 young patients were tested thyroid function indicators, and the study group was divided into respiratory diseases, cardiovascular disease, clinical edema disease, other types of diseases were compared in four categories . Results The proportion of TT3, FT3, FT4, rT3 and TSH abnormalities in the study group was significantly higher than that in the control group. There was statistically significant difference between the two groups (P <0.05). Patients with respiratory diseases, cardiovascular and cerebrovascular disease patients with abnormal thyroid function was significantly higher than the clinical edema disease and other diseases, the data were statistically significant differences (P <0.05). Conclusions The incidence of thyroid abnormalities in elderly patients is significantly higher than that in young people, and the abnormal thyroid function occupies a large proportion of patients with respiratory diseases and cardiovascular and cerebrovascular diseases. All the indexes of thyroid function should be comprehensively detected in patients with thyroid function Patients and clinical disease conditions for the development of comprehensive treatment plan to improve the therapeutic effect and quality of life of patients.