甲状腺功能测试的比较在2型糖尿病患者和没有糖尿病病和对照的甲状腺功能测试
J T V Krishna Pavan Kumar1, Uma M A1
1General Medicine, PES Institute of Medical Sciences and Research, Kuppam, IND.
Cureus
|October 31, 2024
概括
甲状腺功能障碍在2型糖尿病 (T2DM) 患者中更为常见,特别是那些患有糖尿病病 (DN) 患者. 在T2DM患者中,常规查甲状腺问题对于更好的管理和结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 2型糖尿病 (T2DM) 是一种与高血糖和胰岛素抵抗相关的代谢障碍.
- 糖尿病病 (DN) 是T2DM的渐进性并发症.
- 甲状腺功能障碍,特别是甲状腺功能低下,越来越多地被认为是DN进展的一个因素.
研究的目的:
- 将T2DM患者的甲状腺功能与DN患者和没有DN患者的甲状腺功能与非糖尿病对照进行比较.
- 评估甲状腺功能障碍在糖尿病病的进展中的作用.
主要方法:
- 对3组225名参与者的横截面研究:具有DN的T2DM,没有DN的T2DM和对照组 (每组75人).
- 收集人口统计,并发症和临床数据,包括甲状腺功能测试,HbA1c,功能和eGFR.
- 使用SPSS版本20.0.0进行的统计分析.
主要成果:
- 甲状腺功能低下症在T2DM组 (18.7%每组) 与对照组 (2.7%) 相比明显更为普遍.
- 患有T2DM和DN的患者表现出更高的超重/肥胖率和异常的临床检查.
- 在T2DM患有病的患者中,DN阶段4,2和5最常见.
结论:
- 在T2DM和甲状腺疾病之间存在显著的联系.
- 在T2DM患者中甲状腺功能障碍的高患病率需要进行例行查.
- 对T2DM和甲状腺疾病的综合管理对于改善患者的治疗结果至关重要.
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