三级医院代谢综合征病例中甲状腺功能障碍的发生率

NU Huda, UA Ali, W. Abbasi
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摘要

代谢综合征是一组增加心脏病、中风和糖尿病风险的疾病。代谢综合征患者经常会出现甲状腺功能障碍,从而影响他们的整体健康。研究目的确定代谢综合征患者甲状腺功能紊乱的频率。研究方法这项横断面研究于 2023 年 9 月至 2024 年 3 月在阿伯塔巴德阿尤布教学医院医学部进行。共纳入了 120 名确诊为代谢综合征的患者。患者的甲状腺功能通过临床评估和实验室检测(包括血清促甲状腺激素、游离 T3 和游离 T4 水平)进行评估。统计分析采用描述性统计来确定甲状腺功能障碍的频率,结果以百分比和均数 ± 标准差表示。结果120 名患者的平均年龄为(44.64±9.01)岁。这些患者中甲状腺功能障碍的发生率为 68.4%(82/120)。亚临床甲状腺功能减退症占 27.5%(33/120),甲状腺功能低下占 14.2%(17/120),亚临床甲状腺功能亢进症占 4.2%(5/120)。结论研究发现,代谢综合征患者中甲状腺功能障碍的发生率很高(68.4%),其中亚临床甲状腺功能减退症最为常见。这些发现强调了定期筛查代谢综合征患者甲状腺功能以确保早期诊断和治疗的重要性。
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FREQUENCY OF THYROID DYSFUNCTION IN CASES OF METABOLIC SYNDROME PRESENTING AT TERTIARY CARE HOSPITAL
Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and diabetes. Thyroid dysfunction is frequently observed in patients with metabolic syndrome, impacting their overall health outcomes. Objective: To determine the frequency of thyroid dysfunction in patients with metabolic syndrome. Methods: This cross-sectional study was conducted at the Department of Medicine, Ayub Teaching Hospital, Abbottabad, from September 2023 to March 2024. A total of 120 patients diagnosed with metabolic syndrome were included. The patients' thyroid function was assessed through clinical evaluation and laboratory tests, including serum levels of TSH, free T3, and free T4. Statistical analysis was performed using descriptive statistics to determine the frequency of thyroid dysfunction, with results expressed as percentages and means ± standard deviations. Results: The average age of the 120 patients was 44.64±9.01 years. The frequency of thyroid dysfunction among these patients was 68.4% (82/120). Subclinical hypothyroidism was present in 27.5% (33/120), hypothyroidism in 14.2% (17/120), and subclinical hyperthyroidism in 4.2% (5/120). Conclusion: The study found a high frequency of thyroid dysfunction (68.4%) in patients with metabolic syndrome, with subclinical hypothyroidism being the most prevalent form. These findings highlight the importance of regular thyroid function screening in patients with metabolic syndrome to ensure early diagnosis and management.
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