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目的探讨对甲状腺功能亢进(甲亢)性心脏病心胸比例扩大发生的危险因素。方法通过对285例甲亢进行统计分析,其中将118例甲亢性心脏病的心胸比例扩大作为因变量,把性别、年龄、病程、常见的甲亢病因及FT3、FT4等多个因素进行多个自变量的Logistic逐步回归分析。结果发现增龄诱发心胸比例扩大的危险性高达1.057倍,而FT4增加的危险性高达1.028倍。结论年龄、FT4浓度是甲亢患者出现心胸比例扩大的独立危险因素,及时针对性治疗,对预防或减少的甲亢患者心胸比例扩大有益。
Objective To investigate the risk factors for the expansion of cardiothoracic proportion of hyperthyroidism (Hyperthyroid) heart disease. Methods A total of 285 cases of hyperthyroidism were analyzed. Among them, 118 patients with hyperthyroid heart disease were enrolled in the study. The factors of gender, age, course of disease, etiopathogenisis of hyperthyroidism, FT3, FT4 and other factors were evaluated by multiple independent variables Logistic stepwise regression analysis. The results showed that the risk of age-related increase in the proportion of cardiothoracic up to 1.057 times, while the increased risk of FT4 up to 1.028 times. Conclusions Age and FT4 concentration are independent risk factors for the enlargement of cardiothoracic proportion in patients with hyperthyroidism. It is helpful to expand the cardiothoracic proportion of patients with hyperthyroidism by preventing and reducing hyperthyroidism.