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目的:探讨高血压病分级患者血清甲状腺激素水平的变化及低T3综合征的关系。方法:将高血压患者分为两组:1级、2级高血压病组(n=31)、3级高血压病组(n=30),分别测定两组患者的年龄、性别、血清甲状腺激素FT3、FT4、TSH浓度水平进行统计学分析。结果:3级高血压患者血清FT3浓度明显低于1级、2级高血压患者;血清TSH水平3级高血压患者是1、2级高血压患者的2倍;高血压分级与FT3水呈现负相关,而与血清TSH水平呈现正相关。3级高血压的低T3综合征发生率高于1级、2级高血压组。结论:3级高血压患者血清FT3浓度明显下降,更易发生低T3综合征。因此需要对高血压患者尤其是3级高血压患者FT3水平以及TSH水平进行监测,以防止低T3综合征的发生。
Objective: To investigate the changes of serum thyroid hormones and the relationship with low T3 syndrome in patients with hypertension. Methods: Hypertensive patients were divided into two groups: grade 1 and grade 2 hypertension group (n = 31) and grade 3 hypertension group (n = 30). The age, gender, serum thyroid Hormone FT3, FT4, TSH concentration levels for statistical analysis. Results: The level of serum FT3 in patients with grade 3 hypertension was significantly lower than those in patients with grade 1 and 2 hypertension. The patients with grade 3 hypertension with serum TSH were twice as high as those with patients with hypertension 1,2 and the grade of hypertension and FT3 were negative Related to serum TSH levels showed a positive correlation. The incidence of grade 3 hypertension with low T3 syndrome was higher than that of grade 1 and grade 2 hypertension. Conclusion: The level of serum FT3 in patients with grade 3 hypertension is obviously decreased, and the low T3 syndrome is more likely to occur. Therefore, it is necessary to monitor the level of FT3 and the level of TSH in patients with hypertension, especially in patients with grade 3 hypertension in order to prevent the occurrence of low T3 syndrome.