2型糖尿病患者合并甲状腺疾病的调查分析

目的探讨2型糖尿病患者中甲状腺疾病的患病情况。方法调查413例住院的2型糖尿病患者和120例无糖尿病的健康体检人群的甲状腺功能。结果 2型糖尿病患者甲状腺功能异常的总患病率为20.58%,高于非糖尿病人群。甲状腺功能减退者(甲减及亚临床甲减)的患病率明显高于甲状腺功能亢进者(甲亢及亚临床甲亢),其中,亚临床甲减的患病率最高(9.93%),明显高于非糖尿病人群。在2型糖尿病患者中,与男性相比,女性甲状腺功能异常的患病率(24.88%)较高,亚临床甲减的性别差异更明显。结论 2型糖尿病患者甲状腺功能异常的患病率较高,尤以亚临床甲减常见,可能影响糖尿病的病情和预后,定期筛查和随访2糖尿病患者的甲状腺功能具有重要的临床意义。

The Prevalence of Thyroid Disease in Type 2 Diabetes

Objective To observe and analyze the prevalence of thyroid disease in type 2 diabetic patients.Methods The study included 413 cases of type 2 diabetes and 120 healthy cases as control.Serum thyroid function was measured in all.Results In type 2 diabetes,the total prevalence rate of thyroid disease was 20.58%,higher than that of control.The prevalence rate of hypothyroidism and subclinical hypothyroidism in type 2 diabetes were 15.25%,higher than that of hyperthyroidism and subclinical hyperthyroidism.In which,the prevalence rate of subclinical hyperthyroidism was 9.93%,higher than that of control.In type 2 diabetes,the total prevalence rate of thyroid disease in female was 24.88%,higher than that in male.The difference was more obvious in subclinical hyperthyroidism.Conclusion The prevalence rate of thyroid disease in type 2 diabetes was higher than that of control,especially in subclinical hyperthyroidism.So it is important to check out and follow up thyroid function in type 2 diabetes.