首页|2型糖尿病患者甲状腺激素水平与高尿酸血症发生的相关性分析

2型糖尿病患者甲状腺激素水平与高尿酸血症发生的相关性分析

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目的 分析2型糖尿病(T2DM)患者甲状腺激素水平与高尿酸血症(HUA)发生的相关性.方法 回顾性分析2020年9月至2022年6月我院收治的72例T2DM患者的临床资料,根据是否并发HUA将其分为合并HUA组(n=25)和未合并HUA组(n=47).比较两组患者的甲状腺激素(FT3、FT4、TSH)水平,分析甲状腺激素水平与T2DM合并HUA的相关性,采用二元Logistic回归分析甲状腺激素水平对T2DM患者并发HUA的影响.结果 两组FT3水平比较无统计学差异(P>0.05);合并HUA组FT4水平低于未合并HUA组,TSH水平高于未合并HUA组(P<0.05).经点二列相关性分析,FT4水平与T2DM合并HUA呈负相关(r<0,P<0.05),TSH水平与T2DM合并HUA呈正相关(r>0,P<0.05);二元Logistic回归分析显示,T2DM患者FT4水平下降、TSH水平升高是其发生HUA的危险因素(P<0.05).结论 T2DM患者甲状腺激素水平与HUA的发生密切相关,T2DM患者FT4水平下降、TSH水平升高是其发生HUA的危险因素.
Analysis on the Correlation between Thyroid Hormone Levels and Hyperuricemia in Patients with Type 2 Diabetes Mellitus
Objective To analyze the correlation between thyroid hormone levels and hyperuricemia(HUA)in patients with type 2 diabetes mellitus(T2DM).Methods The clinical data of 72 T2DM patients admitted to our hospital from September 2020 to June 2022 were retrospectively analyzed.According to whether complicated with HUA,they were divided into HUA group(n=25)and non-HUA group(n=47).The thyroid hormone(FT3,FT4,TSH)levels were compared between the two groups.The correlation between thyroid hormone levels and T2DM complicated with HUA was analyzed.Binary logistic regression was used to analyze the influence of thyroid hormone levels on T2DM complicated with HUA.Results No statistical difference was found in the FT3 level between the two groups(P>0.05).The FT4 level of HUA group was lower than that of non-HUA group,and the TSH level was higher than that of non-HUA group(P<0.05).Correlation analysis showed that FT4 level was negatively correlated with T2DM complicated with HUA(r<0,P<0.05),and TSH level was positively correlated with T2DM complicated with HUA(r>0,P<0.05).Binary Logistic regression analysis showed that the decrease of FT4 level and the increase of TSH level were the risk factors for the occurrence of HUA in T2DM patients(P<0.05).Conclusions Thyroid hormone levels in T2DM patients are closely related to the occurrence of HUA.The decrease of FT4 level and the increase of TSH level in T2DM patients are the risk factors for the occurrence of HUA.

Type 2 diabetes mellitusThyroid hormoneHyperuricemia

曹晓伟、陈英杰、高鹏宇

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郑州煤炭工业(集团)有限责任公司总医院检验科,河南新密 452371

2型糖尿病 甲状腺激素 高尿酸血症

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
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