老年糖尿病冠心病合并甲状腺机能减退症30例分析.pdfVIP

· 484· Chinese JournaI of MedicinaI Guide 2007 Volume 9 No．6(Serial No．53) 老年糖尿病冠心病合并甲状腺机能减退症30例分析 丁成金 王夏涟 (北京首钢特殊钢有限公司泰康医院，北京 100043) ( 北京市石景山医院，北京 100043) 【摘要】目的：对老年糖尿病(DM)冠心病(CHD)合并甲状腺机能减退症(甲减)进行临床分析及探讨其病因。方法：对住院老 年DMCHD合并甲减的患者30例进行回顾性临床分析，着重分析其DM、CHD、甲减的临床症状、体征、辅助检查的结果，及 治疗转归情况。结果：老年DMCHD合并甲减的病人甲功5项明显低于正常值，P0．05。结论：老年DM患者CHD并发甲 减，与DM血管病变垂体缺血、缺氧致使垂体机能受损，使促甲状腺激素(TSH)分泌减少，甲状腺机能受损有关。 【关键词】老年糖尿病；冠心病；甲状腺机能减退症 【中图分类号】R587．1；R541．4；R581．2【文献标识码】A 【文章编号】1009—0959(2007)06一O484—02 The Analysis 0f 3o Cases of Senile Patients Suffered from Diabetes Mellitus and Coronary Heart Disease Combined、 tll Hypothyroidism Ding Cheng—jin，Wang Xia—lian (Special Steel Company Tai Kang Hospital of Beijing Capital Steel Company，Beijing 100043，China) ( Beijing Shijingshan Hospital，Beiji~ 100043。China) 【ABSTRACT】Objective：This study was designed to analyze and probe the causes of the senile patients suffered from diabetes mellitus and coronary heart disease combined with hypothyroidism．Methods：Senile inpatients of OIlY hospital suffered from diabetes mellitus and coronary heart disease comb ined with hypothyroidism，were retrospectively analyzed，especially on their complaints，physical signs，lab studiesandpmgnoses．Result：Fiveindexes ofthyroid glandfunctionofthesepatiemswerefarbelow norma1．P0．05．Conclusiom： Senilepatients sufferedfrom diabetesmellitusand coronary heart disease combinedwith hypothyroidismwere related by vessel diseases by DM，what cause pituitary ischemic and anoxic，leading to pituitary deficiency，and TSH decrease，thyroid gland function harmed． 【KEY WORDS】Senile diabetes mellitus；coronary heart disease；hypothyroidism 老年糖尿病(DM