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[糖尿病患者的甲状腺功能研究]

[Thyroid function study in patients with diabetes mellitus].

作者信息

Muñoz Núñez A, González Sarmiento E, Ergueta Martín P, Escorial Miguel C, Crespo Pinilla J, Marañón Cabello A

机构信息

Servicio de Medicina Interna, Hospital Clínico, Valladolid.

出版信息

An Med Interna. 1990 Jun;7(6):291-3.

PMID:2102733
Abstract

We study 48 compensated diabetic patients, 41.6% of whom were male, 68.75% had diabetic neuropathy and/or vascular complications (macro-microangiopathy). In 60.4% of the patients the study began at ten years of disease evolution. We selected 14 healthy adults as a control group, 50% being male. Plasma levels of T3, T4 and TSH were measured by RIA and the antimicrosomal antibody (AMT) and antithyroglobulin antibody (ATG), detected by passive hemagglutination. A significant decrease in T3 level (p less than 0.05) was found in controlled diabetic patients, compared to T3 levels of the control group; there was a significant reduction in T3 level (p less than 0.05) in diabetic patients with vascular disease and in female diabetics (p less than 0.05), compared to the control group. There were no statistically significant differences in the other groups, including other parameters measured. We concluded that there is a decrease of T3 in all diabetic patients, this being more noticeable in diabetic females and diabetic patients with vascular disease.

摘要

我们研究了48例代偿期糖尿病患者,其中41.6%为男性,68.75%患有糖尿病神经病变和/或血管并发症(大微血管病变)。60.4%的患者在疾病发展十年时开始此项研究。我们选取了14名健康成年人作为对照组,其中50%为男性。采用放射免疫分析法测定血浆T3、T4和促甲状腺激素(TSH)水平,通过被动血凝反应检测抗微粒体抗体(AMT)和抗甲状腺球蛋白抗体(ATG)。与对照组的T3水平相比,在病情得到控制的糖尿病患者中发现T3水平显著降低(p<0.05);与对照组相比,患有血管疾病的糖尿病患者以及女性糖尿病患者的T3水平显著降低(p<0.05)。在其他组中,包括所测量的其他参数,均未发现统计学上的显著差异。我们得出结论,所有糖尿病患者的T3水平均降低,这在糖尿病女性患者和患有血管疾病的糖尿病患者中更为明显。

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