糖尿病患者甲状腺结节患病率的临床分析  

Clinical analysis upon prevalence of thyroid nodules in Type 2 diabetes mellitus patients

作　　者：任丽萍[1] 于佳[2] 

机构地区：[1]天津大学医院,天津300072 [2]天津市海河医院

出　　处：《中国伤残医学》2015年第18期23-24,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨住院2型糖尿病患者甲状腺结节的患病情况及影响因素。方法：选取2011年5月～2014年4月天津某医院住院的2型糖尿病患者320例，对其甲状腺彩色超声的结果进行分析，观察不同性别、年龄、糖尿病病程、HbA1c水平甲状腺结节的患病率。结果：320例2型糖尿病患者甲状腺结节患病率为53．75％，男性患病率明显低于女性，差异有统计学意义（ x2＝6．532，P＝0．011）。甲状腺结节患病率随年龄增长而增长，随着病程的增加、糖化血红蛋白的增长而升高。结论：糖尿病患者甲状腺结节患病率高于健康人群，不同性别、年龄、糖尿病病程、HbA1c水平对甲状腺结节患病率有不同程度的影响，因此对于2型糖尿病患者进行甲状腺结节的筛查具有必要的临床意义。Objective：To discuss the prevalence and influential factors of thyroid nodules in type2 diabetes mellitus （ T2DM ） pa-tients.Methods：Three hundred and twenty patients with T2DM hospitalized in the specific hospital in Tianjin during May 2011 to April 2014 were enrolled.Analysis was carried upon their color ultrasound results of thyroid glands, meanwhile the prevalence of thyroid nodules were observed among patients of different genders, ages, duration of diabetes and HbA1c levels.Results：The prevalence of thyroid nod-ules in Three hundred and twenty patients with T2DM patients was 53.75%.The rate of male patients was lower than that of female ones with statistical significance（X2 =6.532 ,P=0.011）.The prevalence of thyroid nodules was elevated with the age growth, duration growth and the increasing of glycosylated hemoglobin level.Conclusion：The prevalence of thyroid nodules in type 2 diabetes mellitus pa-tients was higher than normal .Gender, age, duration of diabetes and HbA1c level have different influence upon the prevalence of thyroid nodules.As a consequence, it should be essential to perform screen for thyroid nodules in type 2 diabetes mellitus patients clinically.

关 键 词：2型糖尿病 甲状腺结节 患病率 

分 类 号：R587.1[医药卫生—内分泌]