| 急性脑梗死患者甲状腺激素变化及其临床意义 |
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| 引用本文： | 张秀海,王艳玲,郭爱香,王九云,柳祥忠,张贇,郭予东.急性脑梗死患者甲状腺激素变化及其临床意义[J].中国实用神经疾病杂志,2011,14(16):14-16. |
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| 作者姓名： | 张秀海 王艳玲 郭爱香 王九云 柳祥忠 张贇 郭予东 |
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| 作者单位： | 河南安阳市安钢职工总医院神经内科,安阳,455004 |
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| 摘 要： | 目的探讨急性脑梗死患者甲状腺激素水平的变化及其临床意义。方法采用化学发光法检测65例急性脑梗死患者治疗前后和50例健康对照者血清三碘甲状腺原氨(T3)、游离三碘甲状腺原氨(FT3)、甲状腺素(T4)、游离甲状腺素(FT4)、促甲状腺激素(TSH)水平,并对2组进行比较。结果甲状腺激素水平T4、FT4、TSH在治疗前后各组与对照组相比差异无统计学意义(P>0.05)。T3在治疗前较对照组明显降低(P<0.05),FT3治疗前与对照组相比降低更显著(P<0.01),在治疗后T3、FT3与对照组相比差异无统计学意义(P>0.05)。结论脑梗死患者急性期的保护性应激反应可引起T3和FT3下降,并且T3和FT3的降低与病情严重程度及预后密切相关,随着病情好转逐渐恢复;对于治疗前后甲状腺激素水平的变化,有助于监测治疗和判断预后有一定临床意义。
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| 关 键 词： | 脑梗死 甲状腺激素 正常甲状腺功能病态综合征 |
Clinical significance and changes of serum thyroid hormones levels in patients with acute cerebral infarction |
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| Zhang Xiuhai,Wang Yanling,Guo Aixiang,et al..Clinical significance and changes of serum thyroid hormones levels in patients with acute cerebral infarction[J].Chinese Journal of Practical Neruous Diseases,2011,14(16):14-16. |
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| Authors: | Zhang Xiuhai Wang Yanling Guo Aixiang |
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| Institution: | Zhang Xiuhai,Wang Yanling,Guo Aixiang,et al.Department of Neurology,Anyang Staff General Hospital,Anyang 455004,China |
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| Abstract: | Objective To investigate the clinical significance of alteration of serum thyroid hormone levels in patients with acute cerebral infarction(ACI).Methods Serum triiodothyronine(T3),free serum triiod-othyronine(FT3),thyroxine(T4),free thyroxine(FT4) and thyroiddstimu-lating hormone(TSH) were detected by chemoluminescence assay in 65 cases of ACI before and after treatment as well as 50 normal controls,and the results were compared.Results There were no significant changes in T4,FT4 and TSH between ACI team be... |
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| Keywords: | Cerebral infarction Thyroid hormone Euthyroid sick syndrome |
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