甲状腺功能亢进症的临床分型及中医证候的分析研究

Clinical Classification and Analysis of TCM Syndromes of Hyperthy roidism

目的探讨甲状腺功能亢进症的临床分型及中医证候的分析研究。方法选择该院2018年4月—2019年10月收治的103例甲状腺功能亢进症患者,统计患者的临床表现,中医辩证结果,并进行相关分析。结果103例甲状腺功能亢进症患者中脾肾两虚证患者41例,肝火旺盛证患者33例,气阴两虚证患者16例,心肝阴虚证患者7例,气滞痰凝证患者6例。脾肾两虚证患者的证候主要有心悸心慌(78.0%)、手抖(73.2%)、颈前肿大(65.9%)等;肝火旺盛证患者的证候主要有颈前肿大(75.8%)、脉弦滑(63.6%)、心悸心慌(60.6%)等;气阴两虚证患者的证候主要有心悸心慌(75.0%)、颈前肿大(68.8%)、怕热出汗(62.5%)等;心肝阴虚证患者的证候主要有心悸心慌(71.4%)、颈前肿大(71.4%)、怕热出汗(71.4%)等;气滞痰凝证患者的证候主要有舌苔白(66.7%)、颈前肿大(66.7%)、脉弦滑(66.7%)等。不同证型患者的中医症候表现(颈前肿大、心悸心慌、食欲下降、体重减轻)对比差异有统计学意义(χ2=6.099、12.091、6.287、8.443,P<0.05)。结论甲状腺患者,临床应及时对甲状腺功能亢进症进行中医辩证,根据辩证结果给予有效治疗,从而达到对症治疗疾病的目的。

Objective To investigate the clinical classification and clinical research of TCM syndromes of hyperthyroidism.Methods From April 2018 to October 2019,a total of 103 patients with hyperthyroidism were treated in the hospital.The clinical manifestations of patients were analyzed,and the dialectical results of TCM were analyzed.Results Among 103 patients with hyperthyroidism,41 patients were with deficiency of both spleen and kidney,33 patients were with liver-fire syndrome,16 patients were with deficiency of both qi and yin,7 patients were with deficiency of heart,liver and yin,and 6 patients were with stagnation of qi and phlegm.The syndromes of patients with deficiency of both spleen and kidney mainly include palpitations and palpitation(78.0%),hand tremors(73.2%),anterior neck swelling(65.9%),etc.The main symptoms of patients with liver-fire syndrome are anterior neck swelling(75.8%),slippery pulse string(63.6%),palpitations and palpitation(60.6%),etc.The symptoms of patients with Qi and Yin deficiency syndrome mainly include palpitations and palpitation(75.0%),anterior neck swelling(68.8%),fear of heat and sweating(62.5%),etc.;the syndromes of patients with heart-liver-yin deficiency syndrome mainly include palpitations and palpitation(71.4%),anterior neck swelling(71.4%),and sweating(71.4%),etc.;syndromes of patients with stagnation of qi and phlegm syndrome The main symptoms are white tongue coating(66.7%),anterior neck swelling(66.7%),slippery pulse(66.7%)and so on.There were statistically significant differences in the TCM symptom manifestations of patients with different syndrome types(neck swelling,palpitations,palpitation,loss of appetite,weight loss)(χ2=6.099,12.091,6.287,8.443,P<0.05).Conclusion For patients with thyroid,clinical diagnosis of hyperthyroidism should be conducted in a timely manner,and effective treatment should be given according to the dialectical results,so as to achieve the goal of symptomatic treatment of disease.