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目的探讨高龄老年长期住院患者医院感染与甲状腺功能变化的关系,以降低甲状腺功能病态综合征的发生率。方法选择医院2012年1月-2013年1月住院治疗的30例患有慢性疾病老年患者为研究对象,观察患者医院感染前后出现的甲状腺功能变化,对患者甲状腺功能、高敏C-反应蛋白、血浆白蛋白、血白细胞等变化进行前后对照,并分析各项指标的变化趋势,所有数据经SPSS17.0统计软件进行分析。结果 30例患者发生医院感染后TT3、TT4、FT3均明显下降,数据比较差异有统计学意义(P<0.05),未出现游离T4下降。结论老年长期住院患者出现甲状腺功能病态综合征的发生率较高,医院感染会加重患者的病情,且病程长、易反复,恢复过程漫长。
Objective To investigate the relationship between nosocomial infection and thyroid function in elderly patients with long-term hospitalization to reduce the incidence of thyroid dysfunction syndrome. Methods Thirty elderly patients with chronic diseases admitted to hospital from January 2012 to January 2013 were enrolled in this study. Thyroid function was observed before and after nosocomial infection in patients. Thyroid function, high-sensitivity C-reactive protein, plasma Albumin, white blood cells and other changes before and after the control, and analyze the trend of the indicators, all data by SPSS17.0 statistical software for analysis. Results The TT3, TT4 and FT3 in 30 patients were significantly decreased after hospital infection, the difference was statistically significant (P <0.05), but there was no decrease of free T4. Conclusion The incidence of thyroid dysfunction syndrome in elderly patients with long-term hospitalization is high. Hospital infection aggravates the patient’s condition, and the course of the disease is long and easy to be repeated. The recovery process is long.