1255例住院2型糖尿病患者甲状腺疾病患病率分析

目的探讨北京丰台地区住院2型糖尿病患者中甲状腺疾病的流行现状。方法回顾性分析2005年6月～2010年6月我院内分泌科住院治疗的1255例2型糖尿病患者的甲状腺功能状况。结果（1）2型糖尿病患者合并甲状腺疾病的患病率为11．00％，甲状腺功能减退与甲状腺功能亢进的患病率比较差异无统计学意义；（2）2型糖尿病患者中，女性甲状腺疾病患病率为15．32％，男性甲状腺疾病患病率为7．42％，两者比较差异有统计学意义（P〈0．05）；（3）2型糖尿病患者中，甲状腺功能减退的患病率随年龄的增加而增加（P〈0．05），亚临床甲状腺功能减退的患病率随病程的增加而增加（P〈0．05）。结论2型糖尿病患者合并甲状腺疾病患病率高，建议对女性2型糖尿病患者及男性患者中年龄超过60岁或病程大于10年者进行常规甲状腺功能检查。

The prevalence study of thyroid disease in 1255 diabetes inpatients

Objctive To describe the prevalence rate of thyroid disease in diabetic patients in southern suberbs of Beijing. Methods A retrospective study was carried out among 1255 diabetic patients in Beijing aerospace hospital and serum thyroid function was measured. Results （ 1 ） The prevalence rate of thyroid disease was 11% ,no significant difference was found between hypothyroidism and hyperthyroid- ism. （2）The prevalence rate of thyroid disease was 15.32% in female patients,7.42% in male patients respectively, which was more common in female than in male （ P 〈 0.05 ）. （ 3 ） The prevalence rate of hypo- thyroidism significantly increased with age （P 〈 0. 05 ）, and the prevalence rate of subclinical hypothyroidism significantly increased with diabetes duration（P 〈 0.05）. Conclusion The incidence of thyroid dys-function in T2DM patients is high. we suggest thyroid function should be checked-out in female diabetes patients, male patients which over the age of 60 years or the diabetic duration over 10 years.