甲状腺功能与慢性疾病的管理

Management of thyroid function and chronic diseases

老年慢性疾病人群中普遍存在甲状腺功能异常,表现为临床和亚临床甲状腺功能异常、正常甲状腺性病态综合征。其对糖、脂、蛋白代谢及心血管系统的影响,使得常见老年慢性疾病(如糖尿病、心血管疾病)的管理变得复杂和困难。根据目前循证证据及专家建议,早期识别甲功异常的易感人群,积极进行筛查和监测,对高危异常患者进行早期合理干预,将有助于慢性疾病的有效管理及生活质量的提升。

Thyroid dysfunction is quite common among elderly patients with chromc diseases, which can be - fested as clinical/subclinical hyper/hypo-thyroidism and euthyroid sick syndrome. Its influences on three major material metabolisms of glucose, lipid and protein, plus the cardiovascular system, make the management of some common chronic diseases, such as diabetes mellitus and miscellaneous cardiovascular diseases, in the elderly people more complex and diffi- cult. Based on current evidence and suggestions from experts, the modality to early recognize susceptible population of thy- roid dysfunction for constant screening and monitoring, and take early and reasonable treatment for patients of high risks, may contribute to more efficient management of chronic diseases and thus, the improvement of life quality.