不同方案治疗糖尿病合并甲状腺功能亢进症的效果比较

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【摘要】目的：分析不同方案治疗糖尿病合并甲状腺功能亢进症的效果。方法：选择2020年4月—2022年4月期间的68例糖尿病合并甲状腺功能亢进症患者，随机分为两组，分析两组治疗前后甲状腺体积大小及甲状腺功能变化、血糖指标。结果：治疗前，两组甲状腺体积大小及甲状腺功能变化、血糖指标对比均无显著差异（P>0.05）；治疗后，观察组甲状腺体积、FT3、TT3、FT4、TT4水平均明显低于对照组，观察组TSH水平明显高于对照组，观察组FPG、2h PG、HbAlc水平均明显低于对照组，差异具有统计学意义（P

【关键词】糖尿病；甲状腺功能亢进症；治疗效果；甲巯咪唑；丙硫氧嘧啶

Comparison of effects of different regimens in the treatment of diabetes mellitus with hyperthyroidism

LU Yongxia

The First People’s Hospital of Yuzhong County， Gansu Province， Lanzhou， Gansu 730100， China

【Abstract】Objective： To analyze the effect of different regimens in the treatment of diabetes mellitus with hyperthyroidism. Methods： 68 patients with diabetes mellitus complicated with hyperthyroidism from April 2020 to April 2022 were randomly divided into two groups. The changes of thyroid volume， thyroid function and blood glucose indexes before and after treatment were analyzed. Results： Before treatment， there were no significant differences in thyroid volume， thyroid function and blood glucose index between 2 groups（P>0.05）. After treatment， the thyroid volume， FT3， TT3， FT4 and TT4 levels in the observation group were significantly lower than those in the control group， the TSH level in the observation group was significantly higher than that in the control group， and the FPG， 2h PG and HbAlc levels in the observation group were significantly lower than those in the control group， with statistical significance（P

【Key Words】Diabetes mellitus； Hyperthyroidism； Therapeutic effect； Methimazole； Propylthiouracil

糖尿病作为一种代谢性疾病，会导致患者出现胰岛素分泌缺陷，使得该疾病显示出高血糖的特征[1]。（剩余3446字）