Study On The Correlation Indexes Of TCM Constitution And Thyroid Fuction In Patiens With Benign Thyroid Nodule

Objective Based on the clinical data of 306 cases of benign thyroid nodules were collected,the statistical analysis of the constitutional types of chinese medicine distribution characteristics of benign thyroid nodules,and further analysis between TCM constitution types and age,gender,thyroid function,blood lipid and TCM syndrome in the causes and seek benign thyroid nodules.To provide the basis for early prevention and treatment of thyroid disease.Methods1.Selected 306 cases in 2017 01 months--2018 years 01 months in **Chinese Medicine Hospital Department of Endocrinology,Department of Traditional Chinese Medicine,Red Cross Hospital inpatient and outpatient patients with benign thyroid nodules.2.TCM clinical questionnaire and physical inventory survey,collection of benign thyroid nodules in patients with basic information(name,gender,age,height,weight,BMI,course of disease,family history of thyroid nodules),clinical symptoms and signs,tongue and pulse,thyroid ultrasonography and thyroid function,blood fat index.According to the clinical symptoms and tongue,syndromes: qi stagnation of phlegm,phlegm and blood stasis,liver fire exuberant liver yin deficiency;and according to the constitution,to determine the benign thyroid nodules in patients with constitution types belong: gentleness,qi deficiency,Yang deficiency,yin deficiency,phlegm dampness and dampness heat,blood stasis quality,qi quality,intrinsic quality.3.The distribution rules of all indicators were analyzed.T test,and chi square test were used to analyze the correlation between the distribution of TCM constitution and thyroid function,blood lipid,BMI and TCM syndromes in patients with benign thyroid nodules.Results1.Distribution of benign thyroid nodules at different ages: A total of 306 patients wit h benign thyroid nodules were collected,including 115 males and 191 females,amon g whom 40-49(29.4%)and 50-59(35.3%)were present.Most of the time,the distribu tion of benign thyroid nodules at different ages was not statistically different(P>0.05),but the distribution of women in all age groups was higher than that of men,and beni gn thyroid nodules were concentrated in the 40-year-old the above.2.In the distribution of TCM constitution for different age groups of benign thyroid n odules,the distribution of qi stagnation in 50 to 59-year-olds was 48 cases,which was significantly different from that of other age groups.3.Benign thyroid nodules with TCM constitution: the distribution of the male population constitution in chinese medicine: 30 cases of patients with Qi deficiency(26.1%),21(18.3%)of phlegm dampness and qi stagnation in 17 cases(14.8%),16(13.9%)cases of Yang deficiency and blood stasis in 10 cases(8.7%),gentleness 9cases(7.8%),6(5.2%)cases of damp heat,yin deficiency 4 cases(3.5%),the intrinsic quality of 2 cases(1.7%);the distribution of the female population constitution in chinese medicine: Qi stagnation,65 cases(34%),38(19.9%)cases of Yin deficiency,Qi deficiency in 28 cases(14.7%)Yang,21 cases(11%),and 16 cases(8.4%),quality of blood stasis in 11 cases(5.8%),8(4.2%)cases of damp heat,phlegm dampness in3 cases(1.6%),the intrinsic quality of 1 cases(0.5%),there was significant gender differences in the distribution of the TCM constitution(P< 0.01).The TCM constitution of male patients with benign thyroid nodules is mainly Qi deficiency and phlegm dampness.The physical constitution of female patients with benign thyroid nodules is mainly liver depression and yin deficiency.4.Of the patients with benign thyroid nodules,there were 112 cases of yin deficiency of heart and liver and 94 cases of qi stagnation and phlegm resistance.5.The distribution of BMI in benign thyroid nodules was not statistically significant i n the distribution of TCM physique(P > 0.05).6.The proportion of dyslipidemia in patients with benign thyroid nodules was in the distribution of TCM constitution: the abnormal proportion of CHOL was statistically significant among all TCM constitutions(P < 0.05),and the proportion of abnormal CHOL in damp heat was 57.1%.7.The proportion of abnormal thyroid function in patients with benign thyroid nodules is in the distribution of TCM constitution: the abnormal proportion of FT3 is statistically significant among all TCM constitutions(P < 0.05),and the abnormal proportion of FT3 in phlegm dampness is 32%.Conclusions1.Benign thyroid nodules are easy to occur among middle-aged and elderly people,and the incidence of women in all ages is higher than that of men.2.The middle-aged and elderly patients with benign thyroid nodules are mainly qi-de pressed.3.Male patients with benign thyroid nodules: TCM constitution of qi deficiency,phlegm dampness,qi stagnation,blood stasis,Yang deficiency,and yin deficiency,damp heat,the intrinsic quality of the female population;distribution of TCM constitution: Qi stagnation,yin deficiency,Qi deficiency,Yang deficiency quality,quality,quality,blood stasis and damp heat,phlegm dampness,intrinsic quality,gender difference has obvious statistical significance in the distribution of the TCM constitution(P < 0.01).The TCM constitution of male patients with benign thyroid nodules is mainly Qi deficiency and phlegm dampness.The physical constitution of female patients with benign thyroid nodules is mainly liver depression and yin deficiency.4.Of the patients with benign thyroid nodules,the distribution of TCM syndrome type is mainly of yin deficiency of heart and liver,qi stagnation and phlegm resistance.5.The abnormal proportion of CHOL and FT3 in patients with benign thyroid nodules was statistically significant in the distribution of TCM constitution(P <0.05).