Study On Correlation Between Syndrome Differentiation In TCM And Ultrasonic Characteristics,thyroid Function Hormone Of Hashimoto’s Thyroiditis

Objective: In this paper,the correlation between Hashimoto’s thyroiditis and the syndrome differentiation of traditional Chinese medicine was analyzed by studying the ultrasonic image and blood flow signal performance of Hashimoto’s thyroiditis,combined with the laboratory examination of thyroid-related antibodies and thyroid function.It is expected to obtain the corresponding course and internal relationship between different syndromes and enrich the clinical syndrome differentiation system with more objective data.Methods: In this study,158 patients with Hashimoto’s thyroiditis who had complete medical records and met the inclusion criteria in our hospital from 2020 to2022 were collected for retrospective study and analysis,such as patients’ general data,ultrasonography,and blood flow signal manifestations,thyroid-related antibodies,thyroid function laboratory tests and TCM syndrome differentiation.Statistical correlation methods and software were used to analyze the correlation between TCM syndrome differentiation and general data,thyroid ultrasonography and blood flow signals,and related laboratory examinations.Results: A total of 158 patients,ranging in age from 18 to 67 years old,including 14 males and 144 females,were included in this study.The TCM syndrome differentiation was divided into at least 78 cases of qi stagnation and phlegm-blocking type,39 cases of phlegm-forming and blood-stasis type,24 cases of heart-liver-yin deficiency type,and 17 cases of liver-fire vigorous type.The TCM syndrome differentiation of Hashimoto’s thyroiditis patients was related to age(P<0.05),and there were more young people with qi stagnation and phlegm obstruction than old people.The syndrome differentiation of Hashimoto’s thyroiditis was not related to gender(P>0.05).In Hashimoto’s thyroiditis patients,there was no statistical significance between internal ultrasonic echo characteristics and isthmus thickness,and diffuse type was the most common among the four groups of syndrome differentiation.The ultrasonic blood flow signals in thyroid parenchyma of Hashimoto’s thyroiditis patients were statistically significant(P<0.05).The patients with phlegm-stasis and blood-stasis types had significantly more blood flow signals in class I,and the patients with vigorous liver fire type had the most blood flow signals in Class III.There was a significant difference between TCM syndrome differentiation and thyroid function in Hashimoto’s thyroiditis patients(P<0.01).There was significantly less hyperthyroidism in patients with Qi-stagnation and phlegm-blocking type,significantly more patients with normal thyroid function in patients with phlegm-stasis type,and hyperthyroidism in patients with vigorous liver fire type.There was no statistical significance between TCM syndrome differentiation and the level of autoantibody in cervical lymph nodes and thyroid gland under ultrasonic exploration in Hashimoto’s thyroiditis patients(P>0.05).Conclusion: The TCM syndrome differentiation of Hashimoto’s thyroiditis patients has a certain correlation with the level of ultrasonic blood flow signal,thyroid function,and age of the patients.The course of the disease is long,and the etiology and pathogenesis of the patients are complex and changeable.This study can provide relevant objectified data and enrich the theoretical basis for TCM syndrome differentiation and treatment of the disease in different periods.