2型糖尿病合并甲状腺功能障碍的临床特点分析  

The Clinical Features of type 2 Diabetes Mellitus Combined with Thyroid Dysfunction

作　　者：叶丽萍[1] 

机构地区：[1]四川省什邡市人民医院,四川什邡618400

出　　处：《航空航天医学杂志》2015年第5期541-542,共2页Journal of Aerospace medicine

摘　　要：目的分析2型糖尿病合并甲状腺功能障碍的临床特点和总结诊治经验。方法选取2012年1月~2013年9月收治的2型糖尿病患者260例及120例健康体检者作为对照组。采用放射免疫法测定糖尿病患者及健康体检者血清游离T3、游离T4和促甲状腺激素的含量,观察2型糖尿病患者的甲状腺功能障碍发病率与健康人有无差异,并对2型糖尿病患者及合并甲状腺功能异常者的血糖控制进行比较。结果 260例2型糖尿病组中甲状腺功能异常者48例(18.5%),对照组120例健康体检者中仅4例甲状腺功能异常(3.3%),二者之间的差异有显著性意义(P<0.05)。结论 2型糖尿病患者合并甲状腺功能异常的发生率较高,其中以女性患者合并亚临床甲状腺功能减退的发生率为高;2型糖尿病与甲状腺功能异常之间关系密切、相互影响;2型糖尿病患者常规需做甲状腺功能异常筛查以早发现、早治疗,两病同治,有利于2型糖尿病患者病情整体控制的改善,预防和延缓糖尿病及其并发症的发生和发展。Objective To explore the clinical teatures oI type 2 dmbetes mellltus coml^mea with tlayrola aysluncnon. Methods 260 cases of type 2 diabetic mellitus （T2DM） patients and 120 healthy persons in our hospital were divided into experimental and control group. The serum free T3, free T4 and thyroid stimulating hormone （TSH） were detected by radioimmunoassay. Results 48 cases with T2DM combined with thyroid dysfunction （ the ratio was 18.5% ） , and only 4 cases （ the ratio was 3.3% ） with thyroid dysfunction in control group. Conclusions Patients with T2DM showed easier combining with thyroid functional than that of the healthy. In order to control the blood glucose well, the treatment of DM and thyroid functional together was necessary.

关 键 词：2型糖尿病 甲状腺功能异常 甲亢 甲减 

分 类 号：R582.2[医药卫生—内分泌]