摘要
目的:探讨急性脑梗死(ACI)患者血清甲状腺激素及TSH水平变化与同型半胱氨酸(Hcy)水平的相关性.方法:应用化学发光法和酶免法对33例ACI患者进行了血清TT3、TT4、TSH、FT3、FT4和Hcy检测,并与35名正常健康人作比较.结果:ACI患者血清TT3、FT3水平非常显著地低于正常人组(P<0.01).而TT4、FT4、TSH水平与正常人组比较无显著性差异(P>0.05).血清Hcy水平显著地高于正常人组(P<0.01),血清Hcy水平与TT3、FT3水平呈高度负相关(r=-0.5011、-0.4912,P<0.01).结论:检测ACI患者血清甲状腺激素及TSH水平,可用于ACI的辅助诊断,具有一定的临床实用价值.
Abstract
Objective To explore the changes of thyroid hormone levels in patients with acute cerebral infarction and its correlation to homocysteine. Methods Serum TT3, FT3, TT4, FT4 ,TSH(with CLIA) , serum Hcy(with ELISA)levels were determined in 33 patients with acute cerebral infarction and 35 normal healthy individually served as control. Resulte Serum TT3 , FT3 levels proved apparently lower than those in controls (P<0.01), but serum TT4, FT4, TSH showed no significance ((P >0.05) , serum Hcy level presented markedly higher than that in controls ( P < 0. 01). Serun Hcy level was negative correlated with TT3 , FT3 levels ( r = -0.5011, - 0.4912 ,P < 0.01). Conclusion Detection of serum thyroid hormone levels in patients with acute cerebral infarction might be helpful in diagnosis of acute cerebral infarction and provides certain clinical value.