糖尿病并甲状腺功能亢进症27例临床分析

Clinical Analysis Of 27 Patients with Deficiency Syndrome of NIDDM and Hyperthyroidism

目的:了解糖尿病与甲状腺功能亢进症(简称甲亢)二病并存的临床特点和诊疗方法。方法:对27例糖尿病并甲亢患者的临床特点进行回顾性分析。结果:27例患者中甲亢合并糖尿病的有18例(占66.7%),糖尿病合并甲亢的有4例(占14.9%),二病几乎同时发现者5例(占18.4%),二病综合治疗后,症状明显好转,空腹及餐后血糖均得到较好控制,血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)、促甲状腺素(TSH)均恢复正常。12例心动过速患者心电图恢复正常,3例心房纤颤恢复窦律,3例扩大的心脏缩小。结论:应加强对糖尿病与甲亢二病并存的认识和诊断,兼顾治疗。

Objective ： To study the clinical symptoms and therapies of deficiency syndrome of NIDDM and hyperthyroidism. Methods： Analyzed clinical characteristics of 27 patients. Results： There were 18 hyperthyroidism patients （66. 7% ）with the clinical symptoms of NIDDM ,4 deficiency syndrome of NIDDM patients（ 14.9% ）with the clinical symptoms of hyperthyroidism and 5 patients（ 18.4 ）with deficiency syndrome of NIDDM and hyperthyroidism in 27 patients, After combined treatment, the symptoms were better than before： GLU level in the serum were controlled when limosis and after meal, FT3, FT4, T3, T4 and TSH in the serum got right, ECG of 12 taehycardia patients got right,3 patients with atrial fibrillation got sinus rhythm,the expending hearts of 3 patients minified. Conclusions： Strengthen the study and diagnosis of patients with deficiency syndrome of NIDDM and hyperthyroidism and balanced treatment.