甲状腺功能亢进症中医证候分布规律的研究

目的 探讨甲亢的中医证候分布规律及各证候所表现的症状与激素的相关性.方法 对78例甲亢患者的中医证候进行判断,分析证候与患者一般情况(性别、年龄等)的相关性及证候中的症状与激素的相关性.结果 78例甲亢患者中阴虚阳亢占43.6%;痰火内扰占30.8%:心肝火旺占25.6%.各证候中症状的轻重与甲状腺激素均呈正相关关系(r为正值,P＜0.05),与甲状腺激素水平无直线关系(P＞0.05).结论 甲亢的中医证候以阴虚阳亢最常见;在痰火内扰、心肝火旺、阴虚阳亢三型中,甲状腺激素水平越高,则各证型对应的症状可能越重.

Study on the distribution characteristics of Hyperthyroidism's syndrome

Objective To Analyze the distribution characteristics of Hyperthyroidism's syndrome and the relationship between symptoms and thyroid hormones. Methods The TCM syndromes of a total of 78 patients with hyperthyroidism were differentiated. The relationship between syndrome and general condition of patients (gender and age, etc.) were analyzed;correlation between symptoms and thyroid hormones were also studied. Results Of all 78 patients, patients with yin deficiency and hyperactive yang accounted for 43.6%; patients with internal disturbance of phlegm-fire accounted for 30.8 %; and patients with hypteracitivity of heart-fire and liver-fire accounted for 25.6%. The severity of all the symptoms showed positive correlation with hyroid hormones (the value of r is positive, P＜0.05); and no linear relationship with TSH (P＞0.05).Conclusion The syndrome of yin deficiency and hyperactive yangI was the most common syndrome type. Thyroid hormones had direct proportion with the severity of syndrome.