糖尿病 - 甲状腺链接:对糖尿病患者群体中甲状腺功能障碍患病率的横截面研究
Parth Jani1, Niyati N Pandya2, Kuldeepkumar Viramgama1
1Internal Medicine, All India Institute of Medical Sciences, Rajkot, Rajkot, IND.
甲状腺功能障碍影响30%的糖尿病患者,主要是亚临床甲状腺功能障碍. 女性患者和接受胰岛素治疗的患者面临更高的风险,需要进行例行查.
科学领域:
- 内分泌学 在内分泌学.
- 糖尿病学 糖尿病学
- 内部医学 内部医学
背景情况:
- 糖尿病 (DM) 是一个全球性的健康问题.
- 甲状腺功能障碍是DM患者常见的并发症.
- 了解DM和甲状腺健康之间的相互作用对于患者管理至关重要.
研究的目的:
- 为了确定甲状腺功能障碍在糖尿病患者中的患病率和模式.
- 研究甲状腺功能障碍与DM患者的人口/临床因素之间的关联.
主要方法:
- 一项涉及280名糖尿病患者的横截面观察性研究.
- 临床评估和血糖和甲状腺功能测试的生物化学评估 (TSH,FT3,FT4).
- 化学发光免疫测试用于甲状腺激素量化.
主要成果:
- 在糖尿病患者中,甲状腺功能障碍的患病率为30.35%.
- 亚临床甲状腺功能低下症 (13.22%) 是最常见的异常,其次是明显的甲状腺功能低下症 (8.21%).
- 女性性别 (p=0.0091) 和胰岛素治疗 (p<0.0001) 与甲状腺功能障碍显著相关.
结论:
- 甲状腺功能障碍在糖尿病患者中非常普遍.
- 亚临床甲状腺功能低下是主要的形式.
- 女性糖尿病患者和接受胰岛素治疗的患者需要对甲状腺疾病进行更密切的监测.
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