The Relevance Study On TCM Syndrom Type Of Hypothyroidism And Physical And Chemical Indicators Of Clinic

Objective： Through the case collection, investigation and analysis of clinicalmedicine hypothyroidism syndrome, the paper discusses the thyroid hormone levelsand other physical and chemical indicators of clinical hypothyroidism caused bydifferent syndromes characteristics and laws. At the same time, this paper expoundsthe relationships between modern medicinal objective index and TCM syndrome type,provides the standardized objective indicators for differentiation of symptoms andsigns for classification of syndrome, provides reference for the understanding ofunified Hypothyroidism Thyroid Function, and provides better support for clinicaltreatment.Methods：This research develops the hypothyroidism patients clinical observationtable to investigate clinical cases, collects related data of100cases of hypothyroidism,classifies the TCM syndrome type induction group, analyses and compares thedifferences in the physicochemical index of clinical groups, and observes thecorrelation between TCM syndrome type and the level of thyroid hormone and otherclinical physicochemical indexes.Results： This study of100patients age peak concentration between38~58, male29cases (29%)71cases were female (71%), male prevalence of less than women; FT3value difference between the three groups but the difference is not statisticallysignificant; FT4values have significant differences, and spleen qi deficiency group,spleen and kidney yang deficiency of heart and kidney group> Yang Group; TSHvalues have significant differences, and spleen qi deficiency group <spleen kidneyyang deficiency group <heart and kidney yang deficiency group; TPOAB values havesignificant difference, the center of the kidney-yang deficiency group and spleen qideficiency group (P=0.000), spleen kidney yang deficiency group (P=0.000) havesignificant difference, spleen qi deficiency group, spleen and kidney yang deficiencygroup (P=0.872) have no significant difference, and the spleen kidney yangdeficiency group <spleen qi deficiency group <heart and kidney yang deficiencygroup. The FBG value difference between the three groups but the difference is notstatistically significant; group TC values have significant differences, and spleen qideficiency group <spleen kidney yang deficiency group <heart and kidney yang deficiency group; group TG values have significant differences, and spleen qideficiency group <spleen kidney yang deficiency group <heart and kidney yangdeficiency group; group HDL-c values have significant difference, the center of thekidney-yang deficiency group and spleen qi deficiency group (P=0.001), spleenkidney yang deficiency group (P=0.039) have significant difference, spleen qideficiency, spleen kidney yang deficiency group (group P=0.231) have no significantdifference, and spleen qi deficiency group, spleen kidney yang deficiency group>.Virtual group; group LDL-c values have significant differences, and spleen qideficiency group <spleen kidney yang deficiency group <heart and kidney yangdeficiency group. In100cases of23patients with nodules,17%nodules of spleen qideficiency group, spleen kidney yang deficiency group24%with nodules, heart andkidney yang deficiency group28%with nodules, spleen qi deficiency group <spleenkidney yang deficiency group <heart and kidney yang deficiency group. Between thethree groups in patients with thyroid nodules has no significant difference.Conclusion:(1)The incidence of hypothyroidism is higher in females than in males,and the peak age of onset is in38to58years of age.(2) There are significantdifferences of FT4, TSH, TC, TG, LDL-c value between spleen qi deficiency group,Yang deficiency of spleen and kidney and heart and kidney yang deficiency group,which mean that FT4, TSH, TC, TG, LDL-c value can be used as a reference index ofhypothyroidism objective syndrome differentiation.(3) TPOAB, HDL-c value ofheart and kidney yang deficiency group and spleen qi deficiency group, spleen kidneyyang deficiency group are significantly different. Otherwise spleen qi deficiencygroup and spleen kidney yang deficiency group show no significant difference ISO,which suggest that TPOAB, HDL-c value can be used as a reference index ofhypothyroid heart deficiency syndrome Objective Syndrome Differentiation.(4) FT3,FBG, B ultrasound of thyroid nodular case numbers have no significant difference,which mean that FT3, FBG, B ultrasound of thyroid nodular case numbers cannot bereference indexes of hypothyroidism objective syndrome differentiation.