桥本甲状腺炎的中西医治疗研究进展-傅乔,杨宏杰.pdf

第 1 6 卷 ? ?第 4 期 辽 宁 中 医 药 大 学 学 报 Vol. 16 No. 4 2014 年 4 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Apr .，2014 DOI：10.13194/j.issn.1673-842x.2014.04.045 桥本甲状腺炎中西医治疗研究进展 傅乔 1，杨宏杰 2 （1.上海中医药大学，上海 201203；2.上海中医药大学附属岳阳中西医结合医院，上海 200437） 摘? 要：桥本甲状腺炎是临床常见的自身免疫性甲状腺疾病，西医治疗仍以甲状腺激素替代疗法、免疫疗法、手 术疗法为主，近年来也有人尝试用联合硒剂、131I同位素放射疗法治疗本病，临床并未得到推广应用。中医治疗该病 有一定的优势，临床治疗将分期论??与辨证论治结合，根据不同的临床表现，采用不同的中医疗法进行治疗。中西 医结合治疗本病，既能弥补单用西药或中药治疗的不足，又能起到两者相互补充共同增疗的作用。 关键词：桥本甲状腺炎；西医治疗；中医药治疗 中图分类号：R581.4 文献标志码：A 文章编号：1673-842X??(2014) 04-?0122-??03 Study Progress of Chinese and Western Medicine in Treatment of Hashimotos Thyroiditis FU Qiao1，YANG Hongjie2 （1.Shanghai University of Chinese Medicine，Shanghai 201203，China； 2.Yuanyang Hospital of Intergrated Traditional Chinese and Western Medicine， Shanghai University of Chinese Medicine，Shanghai 200437，China） Abstract：Hashimotos thyroiditis（HT）is a common clinical autoimmune thyroid disease. Over the years，Western medicine still uses thyroid hormone replacement therapy，immune therapy or operation therapy as the main methods for HT treatment. Recently people attempt to treat the disease with combined selenium agent and 131I isotope radiation therapy. However，it is not clinically popularized. Traditional Chinese medicine treatment of HT has certain advantages over Western medicine. Clinical treatment of TCM combines staging treatment and syndrome differential treatment. According to the different clinical manifestations，different traditional Chine