老年亚临床甲状腺功能减退症的流行病学现状和诊治进展  

Epidemiological status and progress in diagnosis and treatment of subclinical hypothyroidism in the elderly

作　　者：张梦杰 徐书杭[1] Zhang Mengjie;Xu Shuhang(Department of Endocrinology,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Nanjing 210028,China)

机构地区：[1]南京中医药大学附属中西医结合医院内分泌科,南京210028

出　　处：《国际内分泌代谢杂志》2025年第1期39-43,共5页International Journal of Endocrinology and Metabolism

基　　金：2020年江苏省重点研发计划(BE2020726);江苏省卫生健康委医学科研项目(面上项目)(M2020102);中华国际医学交流基金会甲状腺中青年医生研究项目(BQE-JZX-202115)。

摘　　要：亚临床甲状腺功能减退症(subclinical hypothyroidism,Shypo)是老年人群最为常见的甲状腺功能异常性疾病。老年人Shypo的患病特点与普通成人有所差异。增龄、碘缺乏或过量、甲状腺相关抗体阳性、糖脂代谢紊乱等均会增加Shypo的患病风险。因此,了解老年Shypo的流行病学现状,及时识别老年Shypo患病的危险因素;同时关注老年Shypo的诊治进展,有助于指导老年Shypo的临床诊疗,进一步规范老年Shypo的管理。Subclinical hypothyroidism(Shypo)is the most common thyroid dysfunction disorder in the elderly.The prevalence characteristics of Shypo in the elderly are different from those of ordinary adults.Aging,iodine deficiency or excess,positive thyroid related antibodies,glucose,and lipid metabolism disorders can increase the risk of Shypo.Therefore,understanding the epidemiological status of Shypo,identifying relevant risk factors for Shypo timely,and paying attention to the progress of diagnosis and treatment of Shypo in the elderly can help guide the clinical diagnosis and treatment of Shypo and further standardize the management of Shypo in the elderly.

关 键 词：老年人群 亚临床甲状腺功能减退症 流行病学 危险因素 

分 类 号：R73[医药卫生—肿瘤]