老年住院患者230例甲状腺功能分析

Analysis of thyroid function in 230 cases of elderly inpatients

目的探讨因各种疾病就诊的老年患者甲状腺功能状况。方法230例因非甲状腺疾病就诊的老年住院患者,均于入院次日晨起时抽空腹静脉血检测三碘甲状腺原氨酸(T3)、四碘甲状腺原氨酸(T4)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)、促甲状腺激素(TSH)、血清白蛋白(ALb)。结果筛查出临床甲状腺功能减退症34例(14.78%);亚临床甲状腺功能减退症5例(2.17%);甲状腺功能正常性病变综合征(SES)95例(41.30%),其中低T3综合征患者78例(82.11%)、低T3/T4综合征17例(17.89%),甲状腺功能正常96例(41.74%)。结论老年住院患者甲状腺功能异常发病率高且易被漏诊,尤其SES的发生率较高,多表现为低T3综合征。

Objective To investigate the thyroid function of elderly inpatients with various kinds diseases. Methods Serum total triiodothyronine （ T3 ）, total thyroxine （ T4 ）, free triiodothyronine （ FT3 ）, free thyroxine （ FT4 ）, thyroid stimulating hormone（ TSH ） and serum albumin were detected in two hundreds and thirty patients. Results Among 230 cases, 34 （lg. 78% ） cases were hypothyroidism;5 （2. 17% ） cases were subclinical hypothyroidism;95 （41.30%） cases were sick euthyroid syndrome（SES）, including 78 cases of low T3 and 17 （ 17.89% ） cases of low T3/T4 ;96 （41.74%） cases were euthyroidism. Conclusion The thyroid function abnormal with high incidence is easy to missed diagnosis in elderly inpatients. The incidence of SES is high, and most SES are low T3.