首页|糖化血红蛋白变异指数与2型糖尿病患者并发亚临床甲状腺功能减退症的关系

糖化血红蛋白变异指数与2型糖尿病患者并发亚临床甲状腺功能减退症的关系

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目的 探讨糖化血红蛋白变异指数(HGI)与2型糖尿病(T2DM)患者并发亚临床甲状腺功能减退症(SCH)的关系.方法 回顾性研究,纳入于2020年5月至2023年5月郑州大学第五附属医院收治的并发SCH的56例T2DM患者病历资料为发生组,另纳入同期于医院就诊的未并发SCH的56例T2DM患者病历资料为未发生组.对比两组一般资料和实验室指标,计算HGI值,通过点二列相关性分析和受试者工作特征(ROC)曲线探讨HGI与T2DM患者并发SCH的关系.结果 发生组女性占比、年龄、糖化血红蛋白(HbA1c)、HGI高于未发生组(P<0.05).经点二列相关性分析显示,HbA1c、HGI与T2DM患者并发SCH呈正相关(r>0,P<0.05).绘制ROC曲线,结果显示HGI、HbA1c评估T2DM患者并发SCH的曲线下面积(AUC)值分别为0.867、0.813,HGI评估价值最高.结论 HGI与T2DM患者并发SCH有关,其值越高,SCH发生可能性越高.
Correlation Between Glycosylated Hemoglobin Variation Index and Subclinical Hypothyroidism in Patients with Diabetes Mellitus Type 2
Objective To investigate the correlation between glycosylated hemoglobin variation index(HGI)and subclinical hypothyroidism(SCH)in patients with diabetes mellitus type 2(T2DM).Methods A retrospective study was conducted,including 56 T2DM patients with concurrent SCH who visited the Fifth Affiliated Hospital of Zhengzhou University from May 2020 to May 2023 as the occurrence group,and 56 T2DM patients without concurrent SCH who visited the hospital during the same period as the non-occurrence group.The baseline data and laboratory indicators of the two groups were compared,and the HGI value was calculated.The relationship between HGI and SCH in T2DM patients was discussed by point two column correlation analysis and receiver operating characteristic(ROC)curve.Results The female proportion,age,glycosylated hemoglobin(HbA1c)and HGI in the occurrence group were higher than those in the non-occurrence group(P<0.05).Through point two column correlation analysis,it was found that HbA1c and HGI were positively correlated with the occurrence of SCH in T2DM patients(r>0,P<0.05).The ROC curve was drawn,and the results showed that the area under the curve(AUC)values of HGI and HbA1c for T2DM patients complicated with SCH were 0.867 and 0.813,respectively,and HGI had the highest evaluation value.Conclusion HGI is related to the occurrence of SCH in T2DM patients.The higher the value,the higher the likelihood of SCH occurrence.

diabetes mellitus type 2glycosylated hemoglobin variation indexsubclinical hypothyroidismcorrelation

程智、白冰、刘相位、郭艳珂、王筠

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郑州大学第五附属医院全科医学科,河南郑州 450052

2型糖尿病 糖化血红蛋白变异指数 亚临床甲减 关系

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(6)
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