住院2型糖尿病患者合并甲状腺疾病的回顾性研究  

Retrospective Study of Thyroid Disease of the Inpatients with Type 2 diabetes

作　　者：席文琪[1] 王秀清[1] 

机构地区：[1]呼和浩特市第一医院内分泌科,内蒙古呼和浩特010030

出　　处：《内蒙古医学杂志》2014年第6期686-689,共4页Inner Mongolia Medical Journal

摘　　要：目的了解2型糖尿病患者合并甲状腺疾病的情况。方法回顾性研究我院2013年1月至6月住院的2型糖尿病患者427例,检测甲状腺功能等指标,筛查合并甲状腺疾病的情况。结果住院2型糖尿病患者甲状腺功能异常的总体患病率为18.3%,高于非糖尿病人群。甲状腺功能减退(甲减及亚临床甲减)的患病率明显高于甲状腺功能亢进(甲亢及亚临床甲亢)。其中女性患者甲状腺功能异常的患病率(占21.65%)及亚临床甲减患病率(占15.15%)较男性差异明显。其中39例新诊断亚临床甲减是之前否认或忽视的病例。结论 2型糖尿病患者甲状腺功能异常的患病率较高,尤以亚临床甲减常见。定期筛查和随访其甲状腺功能,对糖尿病患者的病情控制及预后具有重要意义。Objective To observe and analyze the prevalence of thyroid disease in type 2 diabetic patients. Methods The retrospective study included 427 inpatients cases with type 2 diabetes. Serum thyroid function was measured in all. Results In type 2 diabetes,the total prevalence rate of thyroid disease was 18. 3%,higher than that of control. The prevalence rate of hypothyroidism and subclinical hypothyroidism in type 2 diabetes higher than that of hyperthyroidism and sub- clinical hyperthyroidism. In type 2 diabetes,the total prevalence rate of thyroid disease in female was 21. 65%,higher than that in male. The difference was more obvious in subclinical hyper- thyroidism. And 39 new cases of subclinical hypothyroidism in patients with T2DM who denied or ignored prior thyroid disease. Conclusion The prevalence rate of thyroid disease in type 2 diabetes was higher,especially in subclinical hyperthyroidism. So it is important to check out and follow up thyroid function in patients with type 2 diabetes.

关 键 词：2型糖尿病 甲状腺疾病 

分 类 号：R581[医药卫生—内分泌] R587[医药卫生—内科学]