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老年高血压合并抑郁患者甲状腺激素水平变化分析
引用本文:马丽娜,李耘,冯明,钱玉英,杨伟,朱红.老年高血压合并抑郁患者甲状腺激素水平变化分析[J].中华老年心脑血管病杂志,2012,14(1).
作者姓名:马丽娜  李耘  冯明  钱玉英  杨伟  朱红
作者单位:首都医科大学宣武医院综合科, 北京,100053
基金项目:北京市卫生局保健科研课题资助项目
摘    要:目的了解老年高血压合并抑郁患者甲状腺激素水平的变化。方法选择老年高血压患者73例,分为高血压合并抑郁组(合并组)28例,高血压无合并抑郁组(对照组)45例,并对其进行汉密尔顿抑郁量表及血清甲状腺激素水平检测,比较2组甲状腺激素水平和低T_3综合征发生率。结果合并组患者游离三碘甲状腺原氨酸低于对照组(P<0.01),低T_3综合征发生率高于对照组(39.29%vs 17.78%,P<0.05)。结论老年高血压合并抑郁患者游离三碘甲状腺原氨酸降低,容易发生低T_3综合征,应定期检测甲状腺功能。

关 键 词:高血压  抑郁  甲状腺素  三碘甲状腺原氨酸  功能正常甲状腺病综合征

Analysis of serum thyroid hormone levels in elderly hypertension patients with depression
MA Li-na , LI Yun , FENG Ming , QIAN Yu-ying I , YANG Wei , ZHU Hong.Analysis of serum thyroid hormone levels in elderly hypertension patients with depression[J].Chinese Journal of Geriatric Cardiovascular and Cerebrovascular Diseases,2012,14(1).
Authors:MA Li-na  LI Yun  FENG Ming  QIAN Yu-ying I  YANG Wei  ZHU Hong
Abstract:Objective To explore the alteration of serum thyroid hormone FT_3,FT_4,TSH in elderly hypertension patients with depression.Methods A total of 73 elderly patients with hypertension screened with HAMD were divided into two groups:with depression and without depression (control).The levels of serum thyroid hormone FT_3,FT_4,TSH were compared between the two groups.Results The serum FT_3 concentration of with depression group was lower than that of control group,the incidence of low T_3 symdrome was higher than that of control group(39.29% vs 17.78%,P<0.05).Conclusion The serum FT_3 in elderly hypertension patients with depression was decreased,and the incidence of low T_3 symdrome was increased,so regular monitoring of serum FT_3,FT_4,TSH is very important.
Keywords:hypertension  depression  thyroxine  triiodothyronine  euthyroid sick syndromes
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