中国全科医学2018，Vol.21Issue(9)：1085-1090,6.DOI:10.3969/j.issn.1007-9572.2017.00.167
原发性甲状腺功能减退症的发病原因及患者健康管理方案研究进展
Advances in the Research of the Pathogenesis of Primary Hypothyroidism and Patient Health Management Schemes
摘要
Abstract
Recently, the prevalence of primary hypothyroidism,an autoimmune thyroid disease, has been increasing. Part of this increase can be attributed to the introduction of cytological examinations and serum antibody tests. Much attention has been paid to this increase by both doctors and patients. This paper discusses the pathogenesis of primary hypothyroidism in the context of traditional Chinese and Western medicine, with the aims of improving public awareness of the disease, and implementing active health management schemesto achieve the goal of maintaining public health and wellbeing. According to traditional Chinese medicine, primary hypothyroidism is attributed to Yang deficiency of the spleen and kidney, Qi stagnation,blood stasis, turbid phlegm, retention of food, and a blind mind. In Western medicine, detection of serumthyroid-stimulating hormone (TSH) is used to diagnose hypothyroidism. In addition to autoimmune diseases, hypothyroidism can result from partial removal of the thyroid gland,congenital hypothyroidism, thyroiditis, drug use, viral infections, and deficienciesiniodine, selenium, and vitamin D. Currently, primary hypothyroidismcannot be cured, however, most cases are controllable. Treatment mainly comprises of thyroxine supplementation. The addition of Chinese medicines are believed to achieve improved therapeutic efficacy. Additionally, repeated blood testing is recommendedinprimary hypothyroidismcases to ensure that normal TSH levels are maintained. It is accepted that most patientswith primary hypothyroidism require life-long drug therapy, therefore, multidisciplinary approaches should be employed to facilitate the collaborationand discussion of future cutting-edge research.关键词
甲状腺素/甲状腺功能减退症/瘿病/促甲状腺激素/健康促进Key words
Thyroxine/Hypothyroidism/Flatulence/Thyroid-stimulating hormone/Health promotion分类
医药卫生引用本文复制引用
张娟,陈如泉,陈继东,刘朝杰..原发性甲状腺功能减退症的发病原因及患者健康管理方案研究进展[J].中国全科医学,2018,21(9):1085-1090,6.基金项目
2017年湖北省教育厅科研项目(5421/0001070102)——基于儿童用药安全风险的监护人行为研究 （5421/0001070102）
