脑卒中患者急性期与恢复期血清甲状腺激素的变化及临床意义

Serum thyroid hormones in acute cerebrovascular diseases.

观察了１６２例脑卒中患者血清甲状腺激素的变化，发现：ＦＴ３、Ｔ３明显低于正常对照组，ｒＴ３、ＦＴ４、Ｌ４、ＴＳＨ则明显局于对照组；脑出血组ＦＴ３、、ＴＳＨ明显高于脑梗塞组；病情轻重与甲状腺激素的变化明显相关，治疗前后的甲状腺激素水平明显不同，治疗后ＦＴ１、ｒＴ３、ＴＳＨ、Ｔ４明显降低，Ｔ３明显升高（Ｐ＜０．０５），说明治疗后可改善低Ｔ３综合征。

AbstractSerum thvroid hormones were studied in 162 patients with acute cerebrovascular diseases andcontrols.ResuIts showed that FTs,Ts were markedly lower in patients than in controls,and rT3,FT3,T4,TSH were higher in patients than in controls.Another result showed that FT3, TSH incerebral hemorrhage were significantly higher than in ischemic cerebrovascular disease,There wasoutstanding relationship between severity of stroke and levels of thyroid hormones.We also foundthat levels of thvroid hormones FT4,rT3,TSH,T4 were decreased significantly,and T3 was in-creased significantly after treatment.