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糖尿病患者中甲状腺疾病的发病率明显升高,其中以亚临床甲状腺功能减退症( SCH)最为常见。 SCH及其危害越来越受到重视,最近颁布的《甲状腺疾病防治指南》着重阐述了 SCH对血脂异常、动脉粥样硬化和冠状动脉粥样硬化性心脏病(冠心病)的影响,并认为SCH是心血管疾病发生的危险因素。另外,SCH不仅与2型糖尿病密切相关,而且对糖尿病慢性并发症的进展也发挥着重要的影响。“,”The morbidity of thyroid disease in diabetic patients has obviously increased ,and the subclini-cal hypothyroidism(SCH)is especially common.More attention has been paid to SCH and its harm,and the influence of SCH upon dyslipidemia,artery atherosclerosis and coronary heart disease has been particularly set forth in the Guideline for the Management of Thyroid Disease recently issued in China ,and is deemed to be an independent risk factor to cardiovascular disease.The latest research discovers that SCH is not only closely correlated to type 2 diabetes,but also plays a significant role in the progress of chronic diabetic com-plications.