合并2型糖尿病的甲状腺疾病的管理  

Management of thyroid diseases complicated with type 2 diabetes.

作　　者：薛丽萍[1] 章秋[1] XUE Li-ping;ZHANG Qiu(Department of Endocrinology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院内分泌科,安徽合肥230022

出　　处：《中国实用内科杂志》2021年第2期116-119,共4页Chinese Journal of Practical Internal Medicine

摘　　要：甲状腺疾病和2型糖尿病是内分泌代谢性疾病中最常见的两种疾病。糖尿病对甲状腺疾病会产生影响,糖尿病急症或严重感染可能会诱发甲状腺危象;甲状腺疾病及抗甲状腺药物或糖皮质激素等另一方面又影响到糖代谢,导致血糖波动甚至心血管风险增加,故合并2型糖尿病的甲状腺疾病患者病情较复杂。文章就合并2型糖尿病的甲状腺疾病包括甲状腺功能亢进症、甲状腺功能减退症、甲状腺炎、甲状腺结节和甲状腺癌的处理作一阐述。Thyroid diseases and type 2 diabetes mellitus are the two most common endocrine metabolic diseases.Diabetes has an impact on thyroid diseases,and acute or severe diabetes can even induce thyroid crisis;thyroid disease and antithyroid drugs or glucocorticoids in turn affect glucose metabolism,leading to blood glucose fluctuations and even increased cardiovascular risk.Therefore,the conditions of the patients with thyroid disease complicated with type 2 diabetes are more complicated.This review describes the treatments for thyroid diseases with type 2 diabetes including hyperthyroidism,hypothyroidism,thyroiditis,thyroid nodules and thyroid cancer.

关 键 词：甲状腺疾病 2型糖尿病 管理 

分 类 号：R581[医药卫生—内分泌]