亚临床甲状腺功能减退对糖尿病患者的影响  

Effect of Subclinical Hypothyroidism in Patients With Diabetes Mellitus

作　　者：宋利华[1] 陈蕾[2] 

机构地区：[1]吉林省人民医院离休干部三疗区,吉林长春130021 [2]通化市二道江区人民医院内科,吉林通化134003

出　　处：《中国卫生标准管理》2017年第10期36-37,共2页China Health Standard Management

摘　　要：目的探讨亚临床甲状腺功能减退对糖尿病患者血糖、血脂、尿酸代谢的影响。方法收集261例糖尿病患者,按照血清促甲状腺素水平(TSH)分成观察组与对照组,对照组TSH≤4.5μl U/ml,观察组TSH>4.5μl U/ml。观察两组患者血糖、血脂、尿酸情况。结果两组Hb Alc、尿酸对比差异具有统计学意义(P<0.05);LDL-C,HDL-C、尿酸均为TSH上升的独立因素。结论糖尿病患者血清TSH上升与血糖、血脂和尿酸存在相关性。Objective To investigate the effect of subclinical hypothyroidism on blood glucose, lipid and uric acid metabolism in patients with diabetes mellitus. Methods 261 cases of patients with diabetes, according to the serum TSH levels （TSH） were divided into observation group and control group, control group TSH ≤ 4.5 μlU/ml, the observation group TSH 〉 4.5 μlU/mL. The blood glucose, blood lipid and uric acid in two groups were observed. Results There was significant difference in HbAlc and uric acid between the two groups （P 〈 0.05）; LDL-C, HDL-C and uric acid were independent factors of TSH. Conclusion The increase of serum TSH in patients with diabetes mellitus is related to blood glucose, blood lipid and uric acid.

关 键 词：亚临床甲状腺功能减退 糖尿病 血糖 血脂 尿酸 

分 类 号：R581[医药卫生—内分泌]