甲亢合并糖尿病72例临床诊治分析  

Clinical Diagnosis Analysis of Hyperthyroidism in 72 Cases with Diabetes Mellitus

作　　者：康志君[1] 吴生灵[1] 

机构地区：[1]广东药学院附属第二医院广州新海医院,广东广州510550

出　　处：《中国医药指南》2013年第12期409-409,411,共2页Guide of China Medicine

摘　　要：目的对甲状腺功能性亢进合并糖尿病进行诊断与治疗分析。方法选2010年1月至2012年11月于本院内科甲亢合并糖尿病患者72例,对其进行临床分析研究,通过3个月的治疗比较治疗前后患者各指标的变化情况。当比较差异(P<0.05)具有统计学意义。结果对两病进行同时治疗后患者空腹血糖降至了(6.3±1.3)mmol/L,其餐后2h的血糖降至(7.1±2.2)mmol/L,FT3降至(4.61±2.77)mmol/L,FT4降至(7.91±4.31)ng/L,TSH达到了(4.77±3.73)IU/mL。经比较治疗前后发现个指标明显恢复,患者病情明显好转。结论临床表明甲亢合并糖尿病,一定程度上会出现病情的叠加现象,其对患者身体健康造成了很大的不良影响。因此对此类患者进行同时治疗,能够有效的缓解以及治疗两病。Objective To thyroid function hyperfunction with diabetes mellitus diagnosis and treatment analysis. Methods Choose in January 2010-November 2012 in our hospital medical hyperthyroidism patients with diabetes mellitus in 72 cases, the clinical analysis research, through the three months of treatment comparison before and after treatment in patients with the change of the index. When comparing difference （P〈0.05） have statistical significance. Results The two disease simultaneous treatment of patients after fasting plasma glucose down to the（6.3±1.3）mmol/L, The 2 h postprandial blood glucose down to （7.1±2.2）retool/L, FT3 dropped to （4.61±2.77）mmol/L, FT4 dropped to （7.91±4.31）rig/L, TSH reached （4.77±3.73）IU/mL. By comparison before and after treatment found a index markedly, patients condition improved obviously. Conclusion Clinical show that hyperthyroidism with diabetes mellitus, a certain degree of condition will appear on the superposition phenomenon, the patients health caused a lot of bad influence. Therefore for such patients treated at the same time, can effectively alleviate and treatment two disease.

关 键 词：甲亢合并糖尿病 治疗 效果 分析 

分 类 号：R587.1[医药卫生—内分泌] R581.1[医药卫生—内科学]