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甲状腺功能正常桥本甲状腺炎患者中医体质特征调查 被引量:16

Investigation of constitutional features in patients with Hashimoto's thyroiditis and normal thyroid function
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摘要 目的分析甲状腺功能(甲功)正常桥本甲状腺炎体质分布规律,总结体质的分布规律及相关因素。方法符合甲功正常桥本甲状腺炎诊断标准的门诊及住院患者共60例,依据《中医体质分类与判定表》制定调查表,由专门的中医师通过问卷调査的形式,记录患者的基本信息,判定中医体质类型,分析调查结果。结果 60例甲功正常桥本甲状腺炎患者年龄20~71岁,平均(47.88±13.20)岁,年龄分布50~59岁最多;男女比例为1∶9;以初中以上学历为主,并以本科学历者居多;脑力劳动者最多。60例甲功正常桥本甲状腺炎患者中,以单一体质最为多见。9种体质出现频次分别为:气虚质占19.42%,气郁质占17.27%,阳虚质占8.63%,痰湿质占15.11%,阴虚质占8.63%,平和质占7.91%,血瘀质占7.91%,湿热质占5.04%,特秉质占2.89%。主体质出现频次从大到小依次为气郁质、气虚质、阳虚质、平和质、痰湿质、阴虚质,湿热质与特秉质未出现。结论甲功正常桥本甲状腺炎的最常见体质类型依次为气虚质、气郁质、阳虚质。 Objective To analyze the distribution rules of body constitution in Hashimoto's thyroiditis with normal thyroid function and summarize the distribution rules of body constitution as well as the related factors. Methods A total of 60 outpatients and inpatients meeting the diagnostic criteria for Hashimoto's thyroiditis with normal thyroid function were included. The body constitution types of TCM were classified by "classification and judgment table for body constitution". The basic information and body constitution types of the patients were recorded and judged by special TCM doctors through questionnaire. The results of the study were analyzed. Results Among 60 cases of Hashimoto's thyroiditis with normal thyroid function,the oldest age was 71 years and youngest 20 years old,the mean age was( 47. 88 ± 13. 20) years old,the patients from 50 years old to 59 years old constituted the most,male to female ratio was 1∶ 9. Most of them were from above junior high school level,undergraduates being in majority,those who did mental works were the most. Among 60 cases of Hashimoto's thyroiditis,single type of constitution were mostly seen. The frequency of 9 types of body constitutions were as follows: qi deficiency accounted for 19. 42%, qi stagnation 17. 27%, Yang deficiency 8. 63%, phlegm dampness 15. 11%, yin deficiency 8. 63%, moderate condition 7. 91%, blood stasis 7. 91%, dampness heat 5. 04%, special constitution 2. 89%. The body constitution occurrence frequency from the large to the small was qi stagnation,qi deficiency,Yang deficiency,moderate constitution,phlegm dampness and yin deficiency. Dampness heat and special constitution did not appear in this study. Conclusion The most commonly seen body constitutions in Hashimoto's thyroiditis with normal thyroid function in sequential order were qi deficiency,qi stagnation and yang deficiency.
出处 《北京中医药》 2016年第6期557-559,共3页 Beijing Journal of Traditional Chinese Medicine
基金 辽宁中医药大学杏林优才项目(辽中医校发[2012]211号)
关键词 甲状腺功能正常 桥本甲状腺炎 中医体质 调查 Normal thyroid function Hashimoto's thyroiditis TCM body constitution investigation
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