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  

A Study on the Correlation Between TCM Constitution Distribution Characteristics of Hashimoto′s Thyroiditis and Thyroid Hormone

作　　者：陈岳祺 范源[1] 阮凌玉 柳尧[1] CHEN Yueqi;FAN Yuan;RUAN Lingyu;LIU Yao(Endocrinology Department,Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming 650021,China)

机构地区：[1]云南省中医医院内分泌科,云南昆明650021

出　　处：《西部中医药》2020年第2期66-68,共3页Western Journal of Traditional Chinese Medicine

基　　金：云南省教育厅科学研究基金项目(2016ZZX119)。

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。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.

关 键 词：桥本氏甲状腺炎 中医体质 甲状腺激素 

分 类 号：R581[医药卫生—内分泌]