甲状腺疾病与糖尿病的关系:回顾性描述性研究

Muhammad Hussain Afridi, T. Ghaffar, Akbar Shah, Shaista Kawanl, Nizamuddin .
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引用次数: 0

摘要

从2017年1月到2018年1月,在巴基斯坦白沙瓦的哈亚塔巴德医疗中心(HMC)对1683名寻求内分泌科服务的患者进行了评估,其中350人被诊断出患有甲状腺疾病和糖尿病。通过分析数据发现,患有这两种疾病的人的促甲状腺激素(TSH)水平、体重指数(BMI)和年龄都较高。这一数据清楚地表明,这两种情况之间存在着有利的相关性。数据表明,通过及时诊断和适当护理,可以降低糖尿病和甲状腺疾病患者的发病率和死亡率。此外,在医疗保健领域,这项调查的结果有可能指导未来的研究和医疗保健公司和类似的医疗保健环境的政策决定,关于糖尿病和甲状腺疾病的问题。目的:本研究旨在对2017年1月至2018年1月白沙瓦HMC内分泌科患者甲状腺疾病与糖尿病的相关性进行广泛研究。方法:2017年1月至2018年1月,在白沙瓦HMC内分泌科接受评估的所有18岁及以上患者纳入本回顾性描述性研究。甲状腺疾病和糖尿病患者以女性为主,占71.7%,平均年龄为52.7 - 11.6岁。平均BMI为28.3 6.2 kg/m2。甲状腺疾病和糖尿病患者的平均TSH水平为5.8 ~ 2.5 mIU/L。通过仔细审查病人的医疗记录收集了人口统计和临床数据。促甲状腺激素(TSH)水平、治疗结果、年龄、性别、BMI和糖尿病/甲状腺疾病史都记录在收集的数据中。结果:在研究期间,HMC内分泌科共评估了1683例患者,其中发现有甲状腺疾病和糖尿病的患者350例。在性别划分上,两种情况的患者均以女性为主(71.7%)。他们的平均年龄为52.7 11.6岁,平均BMI为28.3 6.2 kg/m2。这些患者的TSH水平平均为5.8-2.5 mIU/L。总体而言,97.1%的患者对治疗反应良好,达到缓解或部分缓解。结论:本研究结果提示糖尿病与甲状腺疾病有正相关。研究还显示,糖尿病和甲状腺疾病患者的BMI、年龄和TSH水平明显更高。这些发现强调了早期发现和有效管理这两种疾病对于降低糖尿病和甲状腺疾病患者的发病率和死亡率的重要性。本研究的结果也可用于为未来的研究和医疗保健政策提供信息,以解决HMC和其他医疗保健机构中的糖尿病和甲状腺疾病问题。关键词:糖尿病,甲状腺疾病,相关性,白沙瓦HMC, BMI, TSH,治疗,发病率,死亡率
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The Relationship between Thyroid Disease and Diabetes a Retrospective Descriptive Study
From January of 2017 to January of 2018, 1,683 individuals seeking Endocrinology Department services at the Hayatabad Medical Complex (HMC) in Peshawar, Pakistan were evaluated, and 350 of them were diagnosed with thyroid disease in addition to diabetes. Through analyzing the data, it was discovered that those suffering from both ailments had heightened thyroid-stimulating hormone (TSH) levels, body mass index (BMI), and age. This data unmistakably shows that there is a favorable correlation between the two conditions. Reducing morbidity and mortality in individuals with both diabetes and thyroid disease may be achievable through timely diagnosis and appropriate care, as the data indicates. Furthermore, in the field of healthcare, the findings of this investigation have the potential to guide future research and policy decisions for HMCs and comparable healthcare environments, regarding the issue of diabetes and thyroid disease. Objectives: Endocrinology Department in HMC Peshawar's patients from Jan 2017 to Jan 2018 have their correlation between thyroid disease and diabetes extensively studied by this research's aim. Methods: From January 2017 to January 2018, all patients who were 18 years or older and underwent evaluation at the Department of Endocrinology in HMC, Peshawar were included in this retrospective descriptive study. Most of the patients who had thyroid disease and diabetes were female, comprising 71.7% of the sample, with an average age of 52.7 11.6 years. The mean BMI was 28.3 6.2 kg/m2. The mean TSH level of patients with thyroid disease and diabetes was found to be 5.8-2.5 mIU/L. Demographic and clinical data were collected through careful review of patient medical records. Thyroid-stimulating hormone (TSH) level, treatment outcome, age, sex, BMI, and history of diabetes/thyroid disease were all noted in the gathered data. Results: In the department of endocrinology at HMC, 1683 patients were assessed during the study period, and among them, 350 were found to have thyroid disease and diabetes. As for gender division, most patients with both conditions were female (71.7%). Their average age was 52.7 11.6 years, and they had a mean BMI of 28.3 6.2 kg/m2. The TSH level in these patients averaged 5.8–2.5 mIU/L. On the whole, 97.1% of patients responded well to treatment, managing to either achieve remission or gain partial relief. Conclusion: The results of this study indicate that there is a positive correlation between diabetes and thyroid disease. The study also revealed that BMI, age, and TSH levels were significantly higher among those with diabetes and thyroid disease. These findings highlight the importance of early detection and effective management of both conditions to reduce morbidity and mortality in patients with diabetes and thyroid disease. The results of this study can also be used to inform future research and healthcare policies to address the issue of diabetes and thyroid disease in HMC and other healthcare settings. Keywords: diabetes, thyroid disease, correlation, HMC Peshawar, BMI, TSH, treatment, morbidity, mortality
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