糖尿病入院患者中甲状腺疾病患病率调查

Thyroid disease prevalence of hospitalized patients with diabetes mellitus

目的了解上海交通大学附属第一人民医院糖尿病入院患者经筛查合并甲状腺疾病比例情况。方法以2005年1月-2009年12月我院内分泌科4753例糖尿病住院患者为研究对象。采用回顾性研究方法,分析糖尿病入院患者经甲状腺触诊、甲状腺功能、甲状腺B超筛查合并甲状腺疾病的比例。结果以糖尿病入院患者住院期间发现并诊断合并甲状腺疾病患者为843例,占17.8%(843/4753),其中结节性甲状腺肿占75.3%(635/843),甲状腺功能减退占9.8%(83/843)。糖尿病合并甲状腺疾病患者中女性明显高于男性(65.2%>34.8%)。结论在糖尿病的患者中有不少患者存在甲状腺疾病,多见于中老年女性,以甲状腺结节为主,其次为甲状腺机能减退症,提示临床上应对糖尿病入院患者进行常规的甲状腺功能、甲状腺B超的筛查,使合并甲状腺疾病患者得到及时治疗。

Objective： To investigate thyroid disease ratio by the screening of diabetes mellitus hospitalized patients in Shanghai. Methods： In this trial, 4753 cases inpatients with diabetes mellitus were included. The proportion of thyroid dis- ease in diabetes mellituso was analysed by palpation, thyroid function and thyroid B-Ultrasound screening. Results： Among the patients with diabetes meUitus disease, the rate of thyroid diseases was 17.8% （843/4753）, and nodular goiter ac- counted for 75.3% （635/843）. The female patient rate of thyroid disease with diabetes meUitus was higher than that of the male （ 65.2% 〉 34.8% ）. Conclusion： Some patients with diabetes mellitus also have thyroid disease, mainly nodular goi- ter, so patients with diabetes mellitus should have the routine screening of thyroid function and thyroid B - Ultrasound.