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目的调查分析老年2型糖尿病(T2DM)患者甲状腺疾病的患病情况,为甲状腺疾病的防治提供理论依据。方法回顾分析2013年1月—2014年5月在该院就诊的280例老年T2DM患者(老年T2DM组),以及同期体检的242例老年健康人群(老年非T2DM组)的甲状腺功能和甲状腺超声检查。结果 1老年T2DM组甲状腺功能异常发病率高于老年非糖尿病组(25.35%AS 12.81%,P<0.05);甲减、亚临床甲减的发病率均高于老年非T2DM组患者(6.07%vs 2.17%;13.21%vs 5.37%,P<0.05),以亚临床甲减发病率最高,占甲状腺功能异常的52.11%;女性甲状腺功能异常的发病率高于男性(P<0.05)。2老年T2DM组甲状腺结节发病率明显高于老年非T2DM组(75.35%vs 65.28%,P<0.05),女性发病率高于男性,差异有统计学意义(P<0.05)。结论老年T2DM甲状腺疾病的发病率较高,所以对老年T2DM患者筛查甲状腺功能及甲状腺彩超有重要临床意义。
Objective To investigate the prevalence of thyroid diseases in elderly patients with type 2 diabetes mellitus (T2DM) and provide a theoretical basis for the prevention and treatment of thyroid diseases. Methods A retrospective analysis of thyroid function and thyroid ultrasonography in 280 elderly T2DM patients (elderly T2DM group) and 242 elderly healthy subjects (elderly non-T2DM group) from January 2013 to May 2014 was performed. . The incidence of hypothyroidism in hypothyroidism and subclinical hypothyroidism were significantly higher than those in non-diabetic elderly (6.07% vs 12.81%, P <0.05) 2.17%; 13.21% vs 5.37%, P <0.05). The incidence of subclinical hypothyroidism was the highest, accounting for 52.11% of the total thyroid dysfunction. The incidence of thyroid dysfunction in females was higher than that of males (P <0.05). The incidence of thyroid nodules in elderly T2DM group was significantly higher than that in the elderly non-T2DM group (75.35% vs 65.28%, P <0.05). The incidence of thyroid nodules was higher in males than in males (P <0.05). Conclusion The incidence of thyroid disease in elderly patients with T2DM is high, so it is of great clinical significance to screen thyroid function and thyroid ultrasound in elderly patients with T2DM.