目的 探讨北京丰台地区住院2型糖尿病患者中甲状腺疾病的流行现状.方法 回顾性分析2005年6月～2010年6月我院内分泌科住院治疗的1255例2型糖尿病患者的甲状腺功能状况.结果 (1)2型糖尿病患者合并甲状腺疾病的患病率为11.00%,甲状腺功能减退与甲状腺功能亢进的患病率比较差异无统计学意义;(2)2型糖尿病患者中,女性甲状腺疾病患病率为15.32%,男性甲状腺疾病患病率为7.42%,两者比较差异有统计学意义(P<0.05);(3)2型糖尿病患者中,甲状腺功能减退的患病率随年龄的增加而增加(P<0.05),亚临床甲状腺功能减退的患病率随病程的增加而增加(P<0.05).结论 2型糖尿病患者合并甲状腺疾病患病率高,建议对女性2型糖尿病患者及男性患者中年龄超过60岁或病程大于10年者进行常规甲状腺功能检查.%Objctive To describe the prevalence rate of thyroid disease in diabetic patients in southern suberbs of Beijing. Methods A retrospective study was carried out among 1255 diabetic patients in Beijing aerospace hospital and serum thyroid function was measured. Results (1)The prevalence rate of thyroid disease was 11% ,no significant difference was found between hypothyroidism and hyperthyroid-ism. (2)The prevalence rate of thyroid disease was 15. 32% in female patients,7.42% in male patients respectively, which was more common in female than in male( P < 0.05 ). (3) The prevalence rate of hypothyroidism significantly increased with age(P <0.05) .and the prevalence rate of subclinical hypothyroidism significantly increased with diabetes duration (P < 0.05 ). Conclusion The incidence of thyroid dysfunction in T2DM patients is high, we suggest thyroid function should be checked-out in female diabetes patients,male patients which over the age of 60 years or the diabetic duration over 10 years.
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