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为探讨脑卒中患者甲状腺激素的变化及其临床意义.应用放免法测定71例急性脑卒中患者甲状腺激素水平.结果表明,无论是脑出血组还是脑梗塞组,急性期T_3、FT_3明显低于对照组(P<0.001),而T_4、FT_4,及TSH明显高于对照组,各项指标变化以脑出血组最为明显.神经功能缺损程度越重者,各项指标改变越明显.出血量<30ml或梗塞面积<20cm~2时,变化不明显,若出血量>30ml或梗塞面积>20cm~2时,T_3、FT_3与其呈负相关,而T_4、FT_4,其呈正相关,证明脑卒中过程中甲状腺激素变化在一定程度上反映了疾病的轻重程度。
Thyroid hormone levels were measured in 71 patients with acute stroke in order to explore the changes and clinical significance of thyroid hormone in stroke patients.Results showed that T 3 and FT 3 in acute cerebral infarction group were significantly lower than those in control group (P <0.001), but the levels of T_4, FT_4 and TSH were significantly higher in the control group than in the control group, with the most obvious changes in the indexes of cerebral hemorrhage group.The more severe neurological deficits were, the more obvious the change of each index was. Or infarction area <20cm ~ 2, the change was insignificant. If the amount of bleeding> 30ml or the infarction area> 20cm ~ 2, there was a negative correlation between T_3 and FT_3 and T_4 and FT_4, which showed that the thyroid Hormone changes to some extent reflect the severity of the disease.