糖尿病患者的甲状腺功能改变  

CHANGES OF THYROID FUNCTION IN DIABETES MELLITUS

作　　者：唐纪平[1] 汪恕萍[1] 邱鸿鑫[1] 吴应珍[2] 吴国桢[2] 廖明波[3] 

机构地区：[1]重庆医科大学内科内分泌组 [2]重庆医科大学同位素科 [3]重庆医科大学眼科

出　　处：《重庆医科大学学报》1989年第2期125-129,共5页Journal of Chongqing Medical University

摘　　要：本研究发现未控制的糖尿病血清T_3、FT_3I明显降低,rT_3明显升高,FBG、HbA_(1c)与血清T_3、FT_3I呈负相关,与rT_3呈正相关。TSH浓度与视网膜病变程度,24h尿蛋白及病程呈负相关。TRH兴奋试验发现呈低下、延迟及无反应者占57％,并与FBG及HbA_(1c)呈负相关。治疗1～4月后,血糖明显下降,血清T_3明显上升,rT_3明显下降。提示甲状腺功能检查对糖尿病的病情、预后和疗效观察都具有一定临床意义。In this study, it was found that in uncontrolled diabetes mellitus serum T3 and FT3J were decreased, and rT3. elevated. Fasting blood glucose and HbA1c were in negative correlation with T3 and FT3I. and in positive correlation with rT3. Serum TSH was negatively correlated with degree of retinopathy, 24h urinary protein, and duration of diabetes. TRH stimulation test showed low, delayed, or no response in 57% of patients tested, and the resultswere in negative correlation with fas'ting blood glucose and HbA1c. After 1-4 month trentment,blood glucose decreased, serum T3 increased, and rT3 decreased. It was believed that thyroid function test is of significance in evaluating the severity, prognosis, and effect of treatment in diabetes mellitus

关 键 词：糖尿病 甲状腺功能 

分 类 号：R587.1[医药卫生—内分泌]