[摘要] 目的：探讨糖尿病合并甲状腺功能亢进症(甲亢)患者的治疗方法及疗效。方法：回顾性分析本院近年来收治的糖尿病合并甲状腺功能亢进症患者68例，对其临床表现、治疗方法、临床疗效进行分析。结果：68例患者中，空腹血糖均恢复至5.4~6.9 mmol/L，餐后2 h血糖(2hPG)维持在7.8~11.2 mmol/L，患者甲状腺功能检测64例恢复或接近正常。39例患者于甲亢症状控制后胰岛素用量减少15%~25%。结论：糖尿病与甲状腺功能亢进症可相互影响，经联合治疗可取得满意疗效。

    [关键词] 糖尿病；甲状腺功能亢进症；空腹血糖；甲状腺素；三碘甲状腺原氨酸

    [中图分类号] R587.1 [文献标识码] B [文章编号] 1674-4721(2012)01(a)-188-02

    Clinical analysis of patients with diabetes mellitus combined with hyperthyroidism

    LI Yuewei

    Department of Endocrinology, Central Hospital of Tieling City, Liaoning Province, Tieling 112001, China

    [Abstract] Objective: To investigate the treatment and efficacy of the diabetes mellitus combined with hyperthyroidism. Methods: Sixty-eight cases of patients with diabetes mellitus combined with hyperthyroidism in our hospital in recent years were retrospectively analyzed, and then the clinical manifestation, treatment and efficacy of them were analyzed. Results: The fasting plasma glucose of the 68 cases all recovered to (5.4-6.9) mmol/L, 2 h PG maintaining in (7.8-11.2) mmol/L, the thyroid functions of 64 cases recovered to or close to the normal. The dosage of insulin of 39 cases decreased 15%-25% after the symptoms of hyperthyroidism were controlled. Conclusion: The diabetes mellitus and hyperthyroidism can interplay, and can attain satisfactory effect by combined treatment. ......