资源描述:
《糖尿病患者并发亚临床甲状腺功能减退症的临床特点》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、糖尿病患者并发亚临床甲状腺功能减退症的临床特点姚涤非(山东省临沂市临沐县人民医院内一科山东临沂276700)【摘要】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;
2、空腹C肽显著低于对照组;总胆固醇显箸高于对照组;用餐2小时后的C肽显著低于对照组(o两组间对比,差异具有统计学意义(P<0.05)o结论:糖尿病合并亚临床甲状腺功能减退症更易诱发胰胡素抵抗、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。【关键词】糖尿病;三酰甘油;亚临床甲状腺功能减退症【中图分类号】R587.1【文献标识码】A【文章编号】2095-1752(2015)24-0026-02ClinicalfeaturesofsubclinicalhypothyroidisminpatientswithdiabetesmellitusYaoDife
3、i.LinshuPeople'sHospitalofLinyiCity,ShandongProvince,Linyi276700,China[Abstract】ObjectiveToanalyzetheclinicalfeaturesofsubclinicalhypothyroidisminpatientswithdiabetesmellitusandtoanalyzetheclinicalfeaturesofsubclinicalhypothyroidism.Methodschoosesmyfamiliesthroughouttheyear2014indirectreceiveddi
4、abeteshypothyroidisminpatientswithsubclinicalthyroidfunctionofpatients,atotalof60cases,theasthestudygroup.Thepatientswithnormalthyroidfunctioninthesameperiodofourhospitalwereselected,andatotalof60patientsweretreatedasthecontrolgroup.Selectedretrospectiveanalysismethod,comparativeanalysisofthecli
5、nicaldataofthetwogroups,mainlyincluding:age,glycosylatedhemoglobin,triglycerideglycerin,lipoprotein,fastingCpeptide,totalcholesterolandmeal2hoursaftertheCpeptide.ResultsGlycosylatedhemoglobin,threeglycerol,fastingprotein,totalcholesterolandCpeptidein2hoursaftermealsweresign讦icantlybetterthanthos
6、eofthecontrolgroup.Thediffereneebetweenthetwogroupswasstatisticallysignificant(P<0.05).ConclusionDiabeticpatientswithsubclinicalhypothyroidismcaneasilyinducethecomplicationsofdiabetesmellitus,suchaslargebloodvesseldisease,insulinresistanee,microvascularanddyslipidemia..Therefore,weneedtostren
7、gthenthetreatmentofdiabeticpatientswithsubclinicalhypothyroidism..【Keywords]Diabetesmellitus;Threeglycerol;SubclinicalHypothyroidism1•资料与方法1.1一般资料我科2014年全年间,共收治412例糖尿病患者。男性患者232例,女性患者180例;年龄在29至78岁的范围之内,平均(49.7±11.6)岁