论文部分内容阅读
目的探讨正常甲状腺病态综合征(ESS)和危重症之间的关系。方法对重症医学科35例ESS患者血清中游离三碘甲状腺原胺酸(FT3)、游离四碘甲状腺原胺酸(FT4)、促甲状腺激素(TSH)进行检测,并进行急性生理和慢性健康评分(APACHEⅡ),通过回归分析评价FT3和APACHEⅡ之间是否存在相关性。结果 FT3和APACHEⅡ之间呈负相关(r=-0.517,P<0.05)。结论 ESS者FT3水平越低,APACHEⅡ评分越高,提示患者病情越重。FT3有可能作为重症患者病情严重程度和不良预后的监测指标。
Objective To investigate the relationship between normal thyroid syndrome (ESS) and critically ill patients. Methods Serum levels of free triiodothyronine (FT3), free tetraethionine (FT4) and thyroid stimulating hormone (TSH) were measured in 35 ESS patients in the Department of Critical Care Medicine. The acute physiology and chronic health scores (APACHE II), through regression analysis to evaluate the correlation between FT3 and APACHE II. Results There was a negative correlation between FT3 and APACHE Ⅱ (r = -0.517, P <0.05). Conclusion The lower the FT3 level in ESS patients, the higher the APACHE II score, suggesting that the patients are more serious. FT3 may be used as a critically ill patient’s severity and poor prognosis monitoring indicators.