老年2型糖尿病甲状腺疾病的患病情况分析

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。

THE PREVALENCE OF THYROID DISEASE IN ELDERLY TYPE 2 DIABETES

Objective To investigate and analyze the prevalence of thyroid disease in elderly type 2 diabetic patients, and to provide a rationale for the prevention of thyroid disease. Methods Two hundred and eighty cases of elderly type 2 diabetes patients who were treated in author＇s hospital from January 2013 to May 2014 were treated as T2DM elderly group and 242 cases of healthy elderly people who took physical examination in the same period as control Thyroid function and thyroid ultrasound were checked in all subjects. Results The prevalence rate of thyroid dysfunction in T2DM elderly group was higher than that in control （25.35 % vs 12.81%, P〈0.05）, the prevalence rate of hypothyroidism, subclinical hypothyroidism in diabetic patients was also higher than those in control （6. 07% vs 2. 17% ; 13. 21% vs 5. 37%, P〈0.05）. The prevalence rate of subclinical hypothyroidism was highest, which accounted for 52.11%. The prevalence rate of female suffered from thyroid dysfunction was higher than that of male（P〈0.05）. The prevalence rate of thyroid nodule in T2DM elderly group was higher than in control（75.35 vs 65.28%, P〈 0.05）, it was was higher in female than in male（P〈0.05）. Conclusion The prevalenee of thyroid disease in elderly type 2 diabetic patients is higher than normal. Screening the thyroid function and thyroid ultrasound of in elderly Type 2 Diabetes have important clinical significance.