医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
24期
26-26,27
,共2页
糖尿病%三酰甘油%亚临床甲状腺功能减退症
糖尿病%三酰甘油%亞臨床甲狀腺功能減退癥
당뇨병%삼선감유%아림상갑상선공능감퇴증
Diabetes mellitus%Three glycerol%Subclinical Hypothyroidism
目的：对糖尿病患者并发亚临床甲状腺功能减退症的临床特点进行深入的剖析。方法：择取我科2014年全年间接收过的糖尿病合并亚临床甲状腺功能减退症的患者，共计60例，将其作为研究组。并选取我院同期中接受过的甲状腺功能正常的糖尿病患者，共计60例，将其作为对照组。选取回顾性剖析法，对比分析两组的临床资料，主要包括：年龄、糖化血红蛋白、三酰甘油、脂蛋白、空腹C肽、总胆固醇以及用餐2小时之后的C肽等。结果：研究组糖化血红蛋白显著低于对照组，三酰甘油著高于对照组；脂蛋白显著高于对照组；空腹C肽显著低于对照组；总胆固醇显著高于对照组；用餐2小时后的C肽显著低于对照组（。两组间对比，差异具有统计学意义（P＜0.05）。结论：糖尿病合并亚临床甲状腺功能减退症更易诱发胰岛素抵抗、微血管以及血脂异常等并发症。因此，临床治疗上，我们需加强对该类疾病的患者进行治疗的力度。
目的：對糖尿病患者併髮亞臨床甲狀腺功能減退癥的臨床特點進行深入的剖析。方法：擇取我科2014年全年間接收過的糖尿病閤併亞臨床甲狀腺功能減退癥的患者，共計60例，將其作為研究組。併選取我院同期中接受過的甲狀腺功能正常的糖尿病患者，共計60例，將其作為對照組。選取迴顧性剖析法，對比分析兩組的臨床資料，主要包括：年齡、糖化血紅蛋白、三酰甘油、脂蛋白、空腹C肽、總膽固醇以及用餐2小時之後的C肽等。結果：研究組糖化血紅蛋白顯著低于對照組，三酰甘油著高于對照組；脂蛋白顯著高于對照組；空腹C肽顯著低于對照組；總膽固醇顯著高于對照組；用餐2小時後的C肽顯著低于對照組（。兩組間對比，差異具有統計學意義（P＜0.05）。結論：糖尿病閤併亞臨床甲狀腺功能減退癥更易誘髮胰島素牴抗、微血管以及血脂異常等併髮癥。因此，臨床治療上，我們需加彊對該類疾病的患者進行治療的力度。
목적：대당뇨병환자병발아림상갑상선공능감퇴증적림상특점진행심입적부석。방법：택취아과2014년전년간접수과적당뇨병합병아림상갑상선공능감퇴증적환자，공계60례，장기작위연구조。병선취아원동기중접수과적갑상선공능정상적당뇨병환자，공계60례，장기작위대조조。선취회고성부석법，대비분석량조적림상자료，주요포괄：년령、당화혈홍단백、삼선감유、지단백、공복C태、총담고순이급용찬2소시지후적C태등。결과：연구조당화혈홍단백현저저우대조조，삼선감유저고우대조조；지단백현저고우대조조；공복C태현저저우대조조；총담고순현저고우대조조；용찬2소시후적C태현저저우대조조（。량조간대비，차이구유통계학의의（P＜0.05）。결론：당뇨병합병아림상갑상선공능감퇴증경역유발이도소저항、미혈관이급혈지이상등병발증。인차，림상치료상，아문수가강대해류질병적환자진행치료적력도。
ObjectiveTo analyze the clinical features of subclinical hypothyroidism in patients with diabetes mellitus and to analyze the clinical features of subclinical hypothyroidism.Methodschooses my families throughout the year 2014 indirect received diabetes hypothyroidism in patients with subclinical thyroid function of patients, a total of 60 cases, the as the study group. The patients with normal thyroid function in the same period of our hospital were selected, and a total of 60 patients were treated as the control group. Selected retrospective analysis method, comparative analysis of the clinical data of the two groups, mainly including: age, glycosylated hemoglobin, triglyceride glycerin, lipoprotein, fasting C peptide, total cholesterol and meal 2 hours after the C peptide. Results Glycosylated hemoglobin, three glycerol, fasting protein, total cholesterol and C peptide in 2 hours after meals were significantly better than those of the control group. The difference between the two groups was statistically significant (P < 0.05).ConclusionDiabetic patients with subclinical hypothyroidism can easily induce the complications of diabetes mellitus, such as large blood vessel disease, insulin resistance, microvascular and dyslipidemia. Therefore, we need to strengthen the treatment of diabetic patients with subclinical hypothyroidism.
