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目的探讨亚临床甲状腺患者快速心律失常,后期应用左旋甲状腺素治疗的临床效果。方法对平顶山第一人民医院40例SCH患者的甲状腺功能的动态心电图和心血管危险因子水平进行分析和比较,得出其中的内在关系。结果用左旋甲状腺素治疗后患者的情况明显好转。TSH明显下降,CPR明显下降。甲状腺功能心电图出现阵发性心动过速的发生也较治疗前明显减少,并且患者自觉症状明显改善,治疗前、后比较差异有统计学意义(P<0.05)。结论SCH患者会出现不同程度的心律失常,部分患者会出现快速心律失常,对此类患者给予甲状腺激素治疗,情况会出现明显好转。
Objective To investigate the clinical effects of rapid intraventricular arrhythmia in subclinical thyroid patients and late levothyroxine treatment. Methods Forty patients with SCH in Pingdingshan First People’s Hospital were analyzed for thyroid function and cardiovascular risk factors, and the relationship between them was obtained. The results of patients treated with levothyroxine significantly improved the situation. TSH decreased significantly, CPR decreased significantly. The occurrence of paroxysmal tachycardia in thyroid function electrocardiogram was also significantly reduced compared with that before treatment, and patients’ symptoms improved obviously. There was significant difference between before and after treatment (P <0.05). Conclusion SCH patients with varying degrees of arrhythmia, some patients with tachyarrhythmia, thyroid hormone treatment for such patients, the situation will be significantly improved.