摘要
桥本甲状腺炎(HT)是自身免疫性疾病,主要的危害是导致甲状腺功能和甲状腺组织结构的改变,如甲状腺功能亢进、甲状腺功能减退,以及甲状腺肿大和甲状腺结节,《中国甲状腺疾病诊治指南》中HT的治疗原则是纠正异常的甲状腺功能以及缩小甲状腺肿大。但是HT由于自身免疫监控缺陷,对人体的危害不仅只是甲状腺功能和结构改变,还有严重影响女性生殖健康、易伴发甲状腺乳头状癌及其他自身免疫性疾病、甲状腺外癌的发生率显著升高等。即使甲状腺功能正常的患者也有如水肿、怕冷、便秘、女性月经不调、肌肉病变、胃胀痛、白细胞减少等并不局限于甲状腺的诸多危害。作为目前尚无法根治的一种慢性疾病,HT的治疗策略应为在对症处理的同时,以控制病情进展和改善临床症状为主。
Hashimoto＇s thyoiditis（HT） is a clinical autoimmune thyroid disease. The main harm is the change of thyroid function and thyroid tissue structure, such as hyperthyroidism, thyroidectomy and thyroid enlargement and thyroid nodules. To regulate thyroid function and reduce goiter is the treatment principles of HT referred to ＂Guidelines for the diagnosis and treatment of thyroid diseases in China＂. However, HT is an autoimmune thyroid disease, it is harm to the human body. It not only could change of thyroid function and structure, but also seriously effect the reproductive health of women, lead to thyroid papillary carcinoma and other autoimmune diseases and significantly increase the incidence of extra-thyroid cancer. Even the patients of normal thyroid function are not limited to many thyroid diseases hazards, such as edema, cold, constipation, irregular menstruation, muscle disorders, stomach pain, leukopenia, etc. As a chronic disease that cannot be cured at present, the treatment strategy of HT should be proceed in symptomatic treatment while controlling the progress of the disease and improving the clinical symptoms.
作者
熊晓玲
汪虹
邵迎新
Xiong Xiaoling 1, Wang Hong 2, Shao Yingxin 2(1 The Huanggang Hospital of Red Cross, Huanggang, Hubei 438300;2 The Huanggang Traditional Chinese Medicine Hospital Affiliated Hubei Traditional Chinese Medicine University,Huangang, Hubei 43800)
出处
《基层医学论坛》
2018年第13期1833-1834,共2页
The Medical Forum
基金
全国中医学术流派传承工作室建设项目:湖北省陈氏瘿病学术流派传承工作室建设项目(LP0117039)
2016年度黄冈市科技计划项目(黄科字[2016]78号)
关键词
桥本甲状腺炎
诊治指南
治疗策略
分析
Hashimoto＇s thyoiditis Treatment guidelines Treatment strategy Analysis
