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目的探讨老年高血压患者的甲状腺激素水平。方法选取2012年1月至2014年12月宝鸡市人民医院收治的670例老年高血压患者作为观察组,并选取同期健康体检的老年患者670例作为对照组,测定患者的血清甲状腺激素水平,包括促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、三碘甲状腺原氨酸(T3)及甲状腺素(T4)。结果观察组患者的血清T4、FT3水平均明显低于对照组,TSH水平明显高于对照组,差异均有统计学意义(均P<0.05);女性患者的FT3水平明显低于男性,差异有统计学意义(P<0.05)。结论老年高血压患者血清TSH水平明显上升,T3、T4水平明显下降,女性患者FT3水平明显降低。
Objective To investigate thyroid hormone levels in elderly hypertensive patients. Methods Six hundred and seventy elderly hypertensive patients admitted from Baoji Municipal People’s Hospital from January 2012 to December 2014 were selected as the observation group and 670 elderly patients in the same period were selected as the control group to measure the level of serum thyroid hormone in the patients, Thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4), triiodothyronine (T3) and thyroxine (T4). Results The levels of serum T4 and FT3 in the observation group were significantly lower than those in the control group, and the levels of TSH in the observation group were significantly higher than those in the control group (all P <0.05). The FT3 levels in the female patients were significantly lower than those in the male group Statistical significance (P <0.05). Conclusion Serum TSH levels in elderly patients with hypertension are significantly increased, T3 and T4 levels are significantly decreased, and FT3 levels in female patients are significantly lower.