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目的观察使用不同剂量的甲状腺素对老年重症心力衰竭(CHF)的治疗效果。方法随机抽取我院2015年1月至2016年1月整1年中收治的125例重症心力衰竭的患者,入院后均给予心衰规范治疗。并将所选患者按照随机数字表法分为常规组与实验组,分别接受不同剂量的甲状腺素片,在治疗3~4周后,观察其治疗效果。结果治疗前两组患者各项差异对比均无意义(P>0.05),而治疗后两组患者在甲状腺激素水平的恢复指标上对比无显著性差异,而在心功能等各项指标上实验组患者恢复效果相对较优,且95.24%的治疗有效率同样略胜一筹,差异显著(P<0.05)。结论使用小剂量甲状腺素足够治疗重症心力衰竭的老年患者,且不会对心脏造成过度负荷,维持稳定的甲状腺激素水平,效果满意,建议临床采纳应用。
Objective To observe the therapeutic effects of different doses of thyroxine on senile severe heart failure (CHF). Methods A total of 125 patients with severe heart failure treated in our hospital from January 2015 to January 2016 were selected randomly from our hospital from January 2015 to January 2016 and were given standardized treatment of heart failure after admission. The selected patients were divided into routine group and experimental group according to random number table method, and received different doses of thyroxine tablets respectively. After 3 to 4 weeks of treatment, the therapeutic effect was observed. Results There was no significant difference between the two groups before treatment (P> 0.05), but there was no significant difference between the two groups in the recovery of thyroid hormone levels after treatment, but in the patients with experimental group The recovery was relatively superior, and 95.24% of the treatment efficiency is also slightly better, with significant differences (P <0.05). Conclusions The use of low-dose thyroxine is sufficient for treating elderly patients with severe heart failure without overloading the heart and maintaining a stable level of thyroid hormone. The results are satisfactory and the clinical application is recommended.