甲状腺功能亢进与糖尿病并存临床分析

Clinical Analysis of Thyroid Function Hyperthyroidism Comined with Diabets

目的为了进一步探讨了解甲状腺功能亢进症（简称甲亢）和糖尿病的临床特点和治疗措施。方法对36例糖尿痛与甲状腺功能亢进并存的患者的临床资料进行分析。结果36例患者中甲亢合并糖尿病的占有84％，在合并糖尿病后，抗甲状腺药物的用量较无糖尿病时增加；糖尿病合并甲亢的占有6％，在合并甲亢后，使血糖得到稳定控制，降糖药物用量明显的增加，甲亢控制后，降糖药物的用量减少；二病几乎同时发生的患者占有l0％，降糖药物和抗甲状腺药物的用量明显增加，症状不易控制，药物维持的时间长。结论二者在临床有许多相似之处，并存时容易因一种疾病的诊断而忽略另一种疾病的存在，（甲亢）、糖尿病均为临床上较为常见的内分泌疾病，常并发存在，因此应加强对糖尿病与甲亢并存的认识和诊断，兼顾治疗。

Objective to further explore understand hyperthyroidism thyroid function （hereinafter hyperthyroidism） and diabetes clinical characteristics and treatment measures. Methods 36 cases diabetes with thyroid function in patients with hyperthyroidism coexist analysis of the clinical data analysis. Results 36 patients with diabetes mellitus hyperthyroidism possession in 84%, with diabetes mellitus, of anti-thyroid drugs dosage increase when are not diabetic; Diabetes mellitus and hyperthyroidism in possession of 6%, merger, blood sugar get after hyperthyroidism stability control, oral glucose-lowering drugs dosage obvious increase, hyperthyroidism, after controlling the dosage of oral glucose-lowering drugs reduce; Two disease patients also happened almost 10%, oral glucose-lowering drugs and occupy the dosage of of anti-thyroid drugs significantly increased, symptoms, not easy to control drug maintenance time long. Conclusion two in clinical has many similarities, due to a they coexist diagnosis of diseases and ignore the other presence of a disease, （hyperthyroidism）, diabetes are more common for clinical gynecological diseases, often concurrent exists, so that should be strengthened in diabetes and hyperthyroidism coexisted understanding and diagnosis, give consideration to the treatment.