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目的探讨糖尿病合并甲状腺功能亢进症的发病机制、临床特点、诊治方法及效果。方法对内蒙古牙克市人民医院内分泌科2010年10月至2011年10月期间收治的63例糖尿病合并甲状腺功能亢进症患者的临床资料进行回顾性分析。结果病症诊断主要根据两病特征性的症状和体征,治疗上糖尿病采取胰岛素或者口服降糖药治疗,甲亢给予抗甲状腺药物,经过积极对症治疗后效果良好,血糖得到有效控制,甲状腺功能也接近正常。结论充分认识和了解糖尿病合并甲状腺功能亢进症的特点,尽早确诊并且采取有效措施进行治疗,能够取得较为满意的疗效。在诊治过程中只有加强对糖尿病和甲亢两病进行兼顾治疗才能达到满意效果。
Objective To investigate the pathogenesis, clinical features, diagnosis and treatment of diabetes mellitus complicated with hyperthyroidism. Methods The clinical data of 63 patients with diabetes mellitus complicated with hyperthyroidism admitted to Department of Endocrinology, People’s Hospital of Yakeshi, Inner Mongolia from October 2010 to October 2011 were retrospectively analyzed. Results The diagnosis of the disease was mainly based on the characteristic symptoms and signs of the two diseases. The treatment of diabetes mellitus was treated with insulin or oral hypoglycemic agents. Thyroid drugs were given to hyperthyroidism. After active symptomatic treatment, the effect was good, blood glucose was effectively controlled, and thyroid function was also close to normal . Conclusion Fully understanding and understanding of the characteristics of diabetic patients with hyperthyroidism, early diagnosis and effective measures for treatment, can achieve more satisfactory results. In the diagnosis and treatment process, only to strengthen the treatment of both diabetes and hyperthyroidism in order to achieve satisfactory results.