[1]陈岳祺,范源,阮凌玉,等.桥本氏甲状腺炎中医体质分布特征与甲状腺激素相关性研究[J].西部中医药,2020,33(02):66-68.[doi:10.12174/j.issn.1004-6852.2020.02.18]
 CHEN Yueqi,FAN Yuan,RUAN Lingyu,et al.A Study on the Correlation Between TCM Constitution Distribution Characteristics of Hashimoto′s Thyroiditis and Thyroid Hormone[J].Western Journal of Traditional Chinese Medicine,2020,33(02):66-68.[doi:10.12174/j.issn.1004-6852.2020.02.18]
点击复制

桥本氏甲状腺炎中医体质分布特征与甲状腺激素相关性研究
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年02期
页码:
66-68
栏目:
出版日期:
2020-02-15

文章信息/Info

Title:
A Study on the Correlation Between TCM Constitution Distribution Characteristics of Hashimoto′s Thyroiditis and Thyroid Hormone
文章编号:
1004-6852(2020)02-0066-03
作者:
陈岳祺范源阮凌玉柳尧
云南省中医医院内分泌科,云南 昆明 650021
Author(s):
CHEN Yueqi, FAN Yuan, RUAN Lingyu, LIU Yao△
Endocrinology Department, Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming 650021, China
关键词:
桥本氏甲状腺炎中医体质甲状腺激素
Keywords:
Hashimoto′s thyroiditis TCM constitution thyroid hormone
分类号:
R581
DOI:
10.12174/j.issn.1004-6852.2020.02.18
文献标志码:
A
摘要:
目的:探讨桥本氏甲状腺炎的体质分布特征及与甲状腺激素的相关性。方法:采用《中医体质分类与判定表》调查300例桥本氏甲状腺炎患者的中医体质类型,并抽取静脉血行甲状腺功能检查,对相关数据进行统计分析。结果:300例桥本氏甲状腺炎患者复合型体质(53.67%)多于单一型体质(46.33%),分布最多的前3位体质为:气虚质68例(22.67%)、阳虚质55例(18.33%)和痰湿质46例(15.33%)。阴虚质、血瘀质、痰湿质和湿热质4种体质的患者游离三碘甲腺原氨酸(free triiodothyronine,FT3)、游离甲状腺素(free tetraiodothyronine,FT4)水平低于其他体质,促甲状腺素(thyroid stimulating hormone,TSH)、甲状腺过氧化物酶抗体(thyroid peroxidase antibody,TPOAb)水平和甲减发生比例均高于其他体质。结论:桥本氏甲状腺炎好发的体质类型为气虚质、阳虚质和痰湿质,各体质类型在甲状腺激素水平及甲状腺功能方面各有特点。
Abstract:
Objective: To explore the correlation between constitutions distribution characteristics of Hashimoto′s thyroiditis (HT) and thyroid hormone. Methods: TCM constitutions types of three hundred patients with confirmed HT were surveyed according to Determination and Classification of TCM Constitutions, venous blood was drawn to perform thyroid function tests, and the related data were statistically analyzed. Results: Among 300 patients, compound constitution (53.67%) was more than single constitution (46.33%), the top three main constitutions were: 68 cases of Qi deficiency constitution (22.67%), 55 cases of Yang deficiency constitution (18.33%) and 46 cases of phlegm dampness constitution (15.33%). The levels of FT3 and FT4 in the patients of Yin deficiency constitution, blood stasis constitution, phlegm damp constitution and damp heat constitution were lower than these of other constitutions, the levels of TSH, TPOAb and the incidence of hypothyroidism were higher than these of other constitutions. Conclusion: HT easily occurs in Qi deficiency constitution, Yang deficiency constitution and phlegm damp constitution, and different constitutions show the difference in the levels of thyroid hormone and thyroid functions.

相似文献/References:

[1]朱群邦,陈明骏,方凡夫,等.留学生抑郁情绪影响因素分析[J].西部中医药,2013,26(09):45.
 ZHU Qunbang,CHEN Mingjun,FANG Fanfu,et al.On Influencing Factors of Depression in Foreign Students[J].Western Journal of Traditional Chinese Medicine,2013,26(02):45.
[2]李盛华,周明旺,潘文,等.酒精性股骨头坏死与中医体质类型的关系*[J].西部中医药,2014,27(03):80.
 LI Shenghua,ZHOU Mingwang,PAN Wen,et al.Exploration on the Relationship between Alcohol-induced Osteonecrosis Femoral Head and TCM Constitution Types[J].Western Journal of Traditional Chinese Medicine,2014,27(02):80.
[3]樊小青,朱燕,姚宁.116例干眼症的中医体质与中医证型频数调查[J].西部中医药,2014,27(04):79.
 FAN Xiaoqing,ZHU Yan,YAO Ning.Survey on TCM Constitutions of 116 Patients with Xerophthalmia and Frequency of TCM Patterns[J].Western Journal of Traditional Chinese Medicine,2014,27(02):79.
[4]包益洁,殷佩浩△.桥本氏甲状腺炎的中医研究概况[J].西部中医药,2014,27(10):167.
[5]姚志瑞,焦富成,李霞.庆阳市脑梗死患者危险因素筛查及中医体质学分析[J].西部中医药,2013,26(09):53.
 YAO Zhirui,JIAO Fucheng,LI Xi.TCM Constitutions and Risk Factor Screening of Patients Suffering from Cerebral Infarction from Qingyang Municipality[J].Western Journal of Traditional Chinese Medicine,2013,26(02):53.
[6]杨慧珊,朱蕊,廖飞燕.不明原因不孕患者小卵泡排卵的相关因素和中医体质调查*[J].西部中医药,2013,26(12):60.
 YANG Huishan,ZHU Rui,LIAO Feiyan.Investigation on TCM Constitutions and Related Factors of Infertile Women Ovulated with Small Follicle[J].Western Journal of Traditional Chinese Medicine,2013,26(02):60.
[7]唐伟,陈久红,薛金洲,等.六安市城区居民中医体质流行病学调查[J].西部中医药,2014,27(11):82.
[8]徐明伟,王 芳.归脾汤结合中医体质辨识治疗急性轻度苯中毒临床观察[J].西部中医药,2014,27(11):107.
[9]石云.痤疮患者焦虑状态与中医体质类型的相关性研究[J].西部中医药,2015,28(05):87.
[10]黄萍,周青,商洪涛.肥胖人群中医体质特征及体质类型调查[J].西部中医药,2016,29(05):63.
 HUANG Ping,ZHOU Qing,SHANG Hongtao.Research on Constitutions Types and Features of the Obese People[J].Western Journal of Traditional Chinese Medicine,2016,29(02):63.

备注/Memo

备注/Memo:
收稿日期:2019-03-16*基金项目:云南省教育厅科学研究基金项目(2016ZZX119)。作者简介:陈岳祺(1983—),男,主治医师。研究方向:糖尿病及代谢疾病的中医诊治。△通讯作者:柳尧(1978—),女,副主任医师。研究方向:甲状腺及内分泌代谢疾病的中医诊治。
更新日期/Last Update: 2020-02-15