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Clinical analysis of type 2 diabetes mellitus patients with thyroid dysfunction
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Diabetes
- Issue:
- 6
- DOI:
- 10.3969/j.issn.1006-6187.2014.06.009
- Key Word:
- 糖尿病,2型;甲状腺功能;甲状腺疾病;患病率;Diabetes mellitus,type 2;Thyroid function;Thyroid disease;The prevalence rate
Abstract： 目的 探讨T2DM合并甲状腺疾病的患病情况及临床特点. 方法 回顾性分析420例住院T2DM患者甲状腺功能相关指标及临床资料. 结果 (1)T2DM患者甲状腺疾病患病率16.67％;甲状腺功能异常患病率15.71％.甲状腺功能异常患病率甲亢组3.57％,甲减组8.10％,低T3综合征组4.05％.甲减组中,亚临床甲减甲状腺功能异常患病率(4.52％)最高,女性甲状腺疾病及甲状腺功能异常的患病率均高于男性(P＜0.05).(2)与T2DM组相比,T2DM合并甲状腺疾病组病程及胰岛素泵治疗时间增加,C-P120min水平降低;两组UAlb 30～299 mg/24 h差异有统计学意义(P＜0.01).(3)甲亢组DPN患病率最高,低T3组年龄最大,且合并冠心病史发生率最高(P＜0.05). 结论 T2DM合并甲状腺疾病患病率较高,甲状腺功能异常表现形式多样,对T2DM患者进行早期甲状腺功能的筛查具有临床意义.
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