糖尿病患者血清甲状腺激素检测的临床意义分析

目的:探讨糖尿病患者检测血清甲状腺激素的临床意义。方法:对98例2型糖尿病患者采用放射免疫分析,测定血清T3、T4、rT3、sTSH水平,并与53例正常人作比较。结果:2型糖尿病患者轻症组T3水平与正常组比较,有差异(P<0.05),重症组与正常组比较,T3水平有显著差异(P<0.01),T4、rT3、sTSH测定与正常组比较无差异(P>0.05)。结论:糖尿病患者血清甲状腺激素检测结果主要表现为T3降低,降低的程度与疾病的严重程度一致,提出在糖尿病患者中应当重视甲状腺激素的测定,以利于早期筛查和防治。

Clinical Significance of Determination of Serum Thyroid Hormones Levels in Patients with Diabetic -2 Nephrosis

Objective To explore the value of determination of serum thyroid hormones levels in patients with diabetic-2 nephrosis.Methods Serum thyroid hormones(T3,T4,rT3,sTSH) levels in 98 patients with diabetic-2 nephrosis and 53 controls were measured with RIA.Results Serum levels of T3 was significantly higher in patients with diabetic-2 nephrosis than those in controls(P<0.05),but serum T4,rT3,sTSH levels were not much different(P>0.05).Conclusion Changes of serum T3 levels in patients with critical illness were closely related to the severity of the disease process and were useful for outcome prediction.