美国甲状腺协会和临床内分泌医师协会2012年甲减诊治指南介绍

近期，美国甲状腺协会和临床内分泌医师协会联合发表了甲减诊治指南，该指南以循证医学为根据，对所涉及的15个方面的问题共提出了52条指南性的参考建议。该指南重点强调了促甲状腺激素对多数甲状腺功能减退症（甲减）患者的诊断价值，指出甲减的标准治疗方法是给予左旋甲状腺素，对于促甲状腺激素水平小于10 mIU/L的亚临床甲减患者，需要根据患者的个体情况决定治疗方案。

Reading and analysis on management guidelines for hypothyroidism published in 2012 by American Thyroid Association and American Association of Clinical Endocrinologists

Recently, American Thyroid Association and American Association of Clinical Endocrinologists published Clinical Huideline for Hypothyroidism. The authors took an evidence-based medicine approach, and created 52 recommendations on 15 issues. The guideline emphasized that serum thyrotropin is the single best screening test for primary thyroid dysfunction for the vast majority of outpatient clinical situations. The standard treatment for hypothyroidism is replacement with L-thyroxine. The decision to treat subclinical hypothyroidism when the serum thyrotropin is less than 10 mIU/L should be tailored to the individual patient.