不同方案治疗糖尿病合并甲状腺功能亢进的效果对比分析

Contrastive analysis on the effects of different treatments for diabetes complicated with hyperthyroidism

目的分析不同方案治疗糖尿病（TDM）合并甲状腺功能亢进（甲亢）的临床效果,探讨两者之间的关系。方法选取本院内分泌科2010年1月~2013年8月收治的糖尿病合并甲亢的患者121例,随机分为A（n=40）、B（n=40）、C（n=41）3组,A组仅仅针对甲亢治疗,B组仅仅针对糖尿病治疗,C组针对甲亢和糖尿病同时治疗。治疗后比较各组的显效率、有效率以及并发症发生率。结果治疗后各组显效率及有效率为C组〉A组〉B组,且3组间差异有统计学意义（P〈0.05）。3组患者的并发症发生率为B组〉A组〉C组,且三组间差异有统计学意义（P〈0.05）。结论糖尿病与甲亢的发病有相关性,针对其中某一种疾病治疗都可以影响另一种疾病的发展,甲亢引起糖尿病比糖尿病引起甲亢更为多见;同时治疗两种疾病可以大大提高治疗效果。

Objective To analyze the clinical effects of different treatments for diabetes complicated with hyperthyroidism and discuss the relations between the two diseases. Methods 121 patients with diabetes complicated with hyperthyroidism who were admitted by the endocrinology department of our hospital from January 2010 to August 2013 were selected and randomly assigned into three groups：A（n=40）,B（n=40）,and C（n=41）.Group A was only given treatment relating to hyperthyroidism.Group B was only given treatment relating to diabetes.Group C was given a combined treatment of hyperthyroidism and diabetes.The differences of significant effective rate,effective rate and the incidence of complications were compared between groups after treatment. Results The significant effective rate and effective rate of the three groups were CAB,and the differences were statistically significant for all groups（P0.05）.The incidence of complications were BAC,the differences were statistically significant for all groups（P0.05）. Conclusion There are correlations between diabetes and hyperthyroidism and the treatment for each of the diseases will affect the development of the other.Hyperthyroidism-induced diabetes is more commonly seen than diabetes-induced hyperthyroidism. The effect is significantly improved when the two diseases are treated together.