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目的:对2型糖尿病与甲状腺结节临床特点之间的关系进行探究,并分析二者的相关因素。方法:选取108例院内确诊的糖尿病患者及84例非糖尿病患者列入本次研究。统计所有患者的发生的甲状腺结节情况,深入探讨二者之间的关系。结果:糖尿病组患者中甲状腺结节的检出率为66.7%,显著高于非糖尿病组患者,差异有统计学意义(P<0.05);两组患者随着年龄的增加,甲状腺结节的检出率呈现升高的趋势;且在同年龄段患者中,糖尿病组中的检出率高于非糖尿病组,差异有统计学意义(P<0.05)。且2型糖尿病患者的年龄、性别、胰岛素治疗情况、病程、HOMA-IR均是2型糖尿病患者发生甲状腺结节的危险因素(P<0.05)。结论:甲状腺结节在糖尿病患者中的检出率高于非糖尿病患者,且随着年龄的增加,结节的检出率呈现升高的趋势。应该加强2型糖尿病患者,尤其是病程长、高年龄的女性患者的甲状腺结节的筛查工作。
Objective: To explore the relationship between type 2 diabetes and the clinical features of thyroid nodules, and to analyze the related factors. Methods: A total of 108 inpatients with diabetes mellitus and 84 non-diabetic patients were enrolled in this study. Statistics of all patients with thyroid nodules occurred, in-depth discussion of the relationship between the two. Results: The detection rate of thyroid nodules was 66.7% in patients with diabetes mellitus, which was significantly higher than that in non-diabetic patients (P <0.05). With the increase of age, thyroid nodules The rate of increase showed an upward trend; and in the same age group of patients, the detection rate of diabetes group was higher than non-diabetic group, the difference was statistically significant (P <0.05). The age, sex, insulin therapy, course of disease and HOMA-IR in type 2 diabetic patients were both risk factors of thyroid nodules in type 2 diabetic patients (P <0.05). CONCLUSION: The detection rate of thyroid nodules in diabetic patients is higher than that in non-diabetic patients. With the increase of age, the detection rate of nodules shows an increasing trend. Thyroid nodules screening should be strengthened in patients with type 2 diabetes, especially in women with long duration and high age.