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目的探讨2型糖尿病合并甲状腺功能异常类型及治疗经验,提高临床诊治率。方法回顾性分析20例2型糖尿病合并甲状腺功能异常患者临床诊治资料,分析类型差异,经降糖治疗及甲状腺疾病对症处理后,观察患者血糖与甲状腺激素水平。结果本组2型糖尿病合并甲状腺功能亢进患者20.0%(4/20)明显低于甲状腺功能减退患者80.0%(16/20),两组疗效比较,差异有统计学意义(P<0.05)。经全面治疗后,全部患者甲状腺功能均恢复正常,无病死患者。结论 2型糖尿病合并甲状腺功能异常的临床表现易混淆,重视2型糖尿病患者存在甲状腺功能异常的筛查,是提高临床疗效的重要保证。
Objective To investigate the type and treatment experience of type 2 diabetes with thyroid dysfunction and to improve the clinical diagnosis and treatment rate. Methods The clinical data of 20 patients with type 2 diabetes mellitus complicated with thyroid dysfunction were retrospectively analyzed. The types of diabetes mellitus were analyzed. The blood glucose and thyroid hormone levels were observed after hypoglycemic treatment and symptomatic thyroid disease. Results 20.0% (4/20) patients with type 2 diabetes mellitus complicated with hyperthyroidism were significantly lower than 80.0% (16/20) patients with hypothyroidism, the difference was statistically significant (P <0.05). After comprehensive treatment, all patients returned to normal thyroid function, patients without disease. Conclusions The clinical manifestations of type 2 diabetes mellitus complicated with thyroid dysfunction are confused. The screening of patients with type 2 diabetes who have abnormal thyroid function is an important guarantee to improve the clinical efficacy.