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[目的]探讨糖尿病合并Graves病的临床特点、治疗方法及疗效预后。[方法]对糖尿病合并Graves病54例患者的临床资料进行回顾性分析。[结果]所有病例以女性患者多见,高代谢症状常见。超过半数患者的糖尿病症状并不明显,有28例患者是在血糖检测时发现的糖尿病。甲亢的漏诊率也较高。患者总体治疗效果较好,在高代谢症状明显控制后,降糖药物的剂量也明显下降。[结论建议对所有的Graves病患者均应进行血糖检测,糖尿病患者也应作甲状腺功能的检测,以减少漏诊,治疗中要两种疾病同时兼顾,改善患者预后。
[Objective] To investigate the clinical features, treatment and prognosis of diabetic patients with Graves disease. [Methods] The clinical data of 54 patients with diabetes and Graves disease were retrospectively analyzed. [Results] All cases were more common in female patients, and high metabolic symptoms were common. More than half of patients with diabetes symptoms are not obvious, 28 patients were found in the detection of blood sugar diabetes. The rate of misdiagnosis of hyperthyroidism is also high. Patients overall treatment is better, after the obvious control of high metabolic symptoms, the dose of hypoglycemic drugs also decreased significantly. [Conclusion It is suggested that all patients with Graves disease should be tested for blood sugar, and diabetic patients should also be tested for thyroid function so as to reduce the missed diagnosis. The two diseases should be treated simultaneously to improve their prognosis.