甲状腺功能亢进症患者合并糖尿病临床特点分析

Clinical characteristics of hyperthyroidism patients secondary with diabetes mellitus

目的对甲状腺功能亢进症(甲亢)患者合并糖尿病的临床特点及诊治进行研究。方法回顾性分析2010至2016年我院内科收治的40例甲亢继发糖尿病患者的临床资料,主要总结疾病的临床特点,并探讨临床治疗方法与效果。结果对甲亢患者给予血糖检测,空腹血糖(FBG)、餐后2小时血糖(2hPG)水平达到糖尿病诊断标准者诊断为甲亢合并糖尿病。对此类患者实施相应的降糖、抗甲亢治疗后,患者各项血糖指标与甲亢功能指标有显著改善。结论重视甲亢患者的血糖检测,以及时发现患者的糖尿病病情,并采取同步治疗的方案,防止病情相互加重,危害健康。

Objective To study the clinical features,diagnosis and treatment of hyperthyroidism patients secondary with diabetes mellitus. Methods Clinical data of 40 patients with hyperthyroidism secondary with diabetes mellitus treated in our hospital from 2010 to 2016 were analyzed retrospectively. The clinical characteristics of the disease were summarized,and the clinical treatment methods and effects were discussed.Results When blood glucose,fasting blood glucose（ FBG） and postprandial 2 hour blood glucose（ 2hPG） were higher than normal levels. Hyperglycemia patients with hyperglycemia were diagnosed as hyperthyroidism secondary to hyperglycemia. After the implementation of the corresponding treatment,the patient＇s blood glucose and hyperthyroidism have significantly improved.Conclusions We should pay attention to the detection of blood glucose in patients with hyperthyroidism,and to find out the patients＇ diabetes,and to take simultaneous treatment to prevent the condition from aggravating each other and endangering the health.