2型糖尿病伴甲状腺超声异常的临床特点分析

Analysis of Clinical Features of Type 2 Diabetes Mellitus Patients with Abnormal Thyroid Ultrasound

目的:观察2型糖尿病伴甲状腺超声异常的临床特点分析。方法:选取2013年12月~2015年12月来某院治疗的100例2型糖尿病患者进行回顾性分析,其中实验组伴甲状腺超声异常64例,正常组甲状腺超声正常36例。观察两组患者在血红蛋白、血糖、血脂的实验检测结果的对比以及甲状腺超声异常比较。结果:经比较得知,实验组与正常组在空腹血糖、餐后2h血糖、糖化血红蛋白、胆固醇、甘油三酯上无显著差异(P>0.05),两组患者总异常率、亚甲减、低T3综合征、甲亢上存在明显差异(P<0.05)具有统计学意义。实验组患者中腺瘤32例(50.0%)、13例混合型异常(20.3%)、弥漫性肿大19例(29.7%)。其中腺瘤发生率最高。结论:2型糖尿病伴甲状腺超声异常以腺瘤为主,发病率最高,且患者年龄与甲状腺超声异常有明显的相关性,在临床应予以重视,具有临床参考价值。

Objective：To observe the clinical features of type 2 diabetes mellitus patients with abnormal thyroid ultrasound.Methods：100 cases of patients with type 2 diabetes mellitus from December 2013 to December 2015 in a hospital were retrospectively analyzed.There were 64 cases of patients with abnormal thyroid ultrasound in experimental group,and there were 36 cases of patients with normal thyroid ultrasound in control group.Then observed the results of hemoglobin, blood glucose and blood lipid tests of two groups and compared the abnormality of thyroid ultrasound. Results：There was no significant difference in the fasting blood glucose, postprandial 2h blood glucose, glycosylated hemoglobin, cholesterol, triglycerides of two groups （P〉0.05）.There were significant differences in the total abnormal rate, subclinical hypothyroidism, low T3 comprehensive syndrome,hyperthyroidism of two groups （P〈0.05）,which the differences were statistically significant.There were 32 cases of adenoma patients in experimental group （50 %）, there were 13 cases of mixed abnormalities patients （20.3%）, and there were 19 cases of diffuse enlargement patients （29.7 %）.The incidence of adenoma was the highest.Conclusion：Type 2 diabetes mellitus patients with abnormal thyroid ultrasound gave priority to adenoma,with the highest incidence rate, and the age of patients and thyroid Ultrasound abnormalities have obvious correlation, which should be paid attention in clinical, with clinical reference value.