慢性充血性心力衰竭患者甲状腺激素变化临床分析

Clinical analysis of thyroid hormone changes in patients with chronic congestive heart failure

目的观察慢性充血性心力衰竭（CHF）患者血清甲状腺激素的变化情况。方法用化学发光免疫分析技术微粒子酶免分析法测定72例CHF患者和48例健康者血清甲状腺激素水平。结果CHF患者与健康者相比血清三碘甲状腺原氨酸、游离三碘甲状腺原氨酸明显降低，差异具有统计学意义（P〈0．05）；而总甲状腺素浓度、游离甲状腺素、促甲状腺激素2组间相似，差异无统计学意义（P〉0．05）。结论慢性充血性心力衰竭患者常合并正常甲状腺功能病态综合征。

Objective To observe the thyroid hormones changes in patients with chronic congestive heart failure. Methods Serum thyroid hormones levels were analyzed in 72 patients with chronic congestive heart failure and forty-eight healthy people by the chemiluminescence immune analytical technique. Results T4, FT4, TSH showed no difference between the two groups. Conclusion Patients with chronic congestive heart failure usually develop euthroid sick syndrome（ESS）.