The Clinical Study Of TCM Syndrome Type In Subacute Thyroiditis(Hyperthyroidism Stage)

[Objective] To study the relationship between the TCM syndromes of subacute thyroiditis(hyperthyroidism stage) and laboratory indicators and symptoms, to guide the treatment of disease in traditional Chinese medicine.[Methods] 1.To select 60 patients of subacute thyroiditis (hyperthyroidism stage) that were divided by TCM syndrome differentiation:48 cases were of the heat toxin syndrome and 18 cases were of the pathogenic heat and toxin syndrome, who were treatmented in Jiangsu Province Hospital of TCM, from January 2009 to January 2014.2.To set the"form of clinical observation about subacute thyroiditis" to collect the patient’s information according to the relevant standard, and enter to the computer SPSS database.3.To analyze by SPSS19.0 software.[Results] 1.Subacute thyroiditis outbreaks in any age, but women in age 30-59 are easier to get and the female incidence is four times than that of men.2. The lower age group(20-50 years old) has a significantly higher TT3、FT3、WBC level (P<0.05) than the elder age group(51-82 years old).3.The common symptoms of the disease are:thyroid pain、swollen thyroid、fever、fatigue、 palpitations、pharyngalgia.4. The heat toxin syndrome group are more serious than the pathogenic heat and toxin syndrome group in the syndrome of thyroid pain、swollen thyroid、 fever(p<0.05).ESR of the heat toxin syndrome group is obviously higher than that of pathogenic heat and toxin syndrome group(p<0.05).[Conclusions] 1.Subacute thyroiditis outbreaks more among women in age 30-59 and the female incidence is four times than that of men.Upper respiratory tract infection and a cold are the most important inducement of SAT. Its onset also has particular concern with occupation.2.Young people have a more significant immune inflammation reaction in the hyperthyroidism stage of this disease.3.The common symptoms of the disease are:thyroid pain、 swollen thyroid、fever、fatigue、palpitations、pharyngalgia.4. The degrees of thyroid pain、swollen thyroid、fever can evaluate the severity of patients illnesses; ESR level can be used as reference indicators of syndrome differentiation about subacute thyroiditis(hyperthyroidism stage), and serum thyroid hormone levels can’t be the evaluation index of the disease’s severity.