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目的观察高血压充血性心力衰竭(HCHF)患者甲状腺功能变化及其意义。方法 54例患者,将心功能Ⅰ,Ⅱ级者分为A组,Ⅲ,Ⅳ级者分为B组;将EF值≥40%者划为Ⅰ组,<40%者划为Ⅱ组。检测甲状腺功能等指标。结果 B组患者血清T3浓度明显低于A组患者(P<0.05);Ⅱ组T3浓度亦明显低于Ⅰ组(P<0.05)。所有患者T3,T4,TSH与GPT,BUN,Cr,TNF,TG,Ch,BS,WBC之间均无相关性。结论 HCHF患者T3降低,T4及TSH无显著变化。
Objective To observe the changes of thyroid function in patients with congestive heart failure (HCHF) and its significance. Methods Fifty-four patients were divided into group A, group Ⅲ, and group Ⅳ with heart function Ⅰ and Ⅱ, group B was divided into group Ⅰ, group 40 and group Ⅰ with EF> 40%. Detection of thyroid function and other indicators. Results Serum T3 concentration in group B was significantly lower than that in group A (P <0.05). T3 in group Ⅱ was significantly lower than that in group Ⅰ (P <0.05). All patients T3, T4, TSH and GPT, BUN, Cr, TNF, TG, Ch, BS, WBC no correlation between. Conclusions T3 decreased in HCHF patients and no significant changes in T4 and TSH.