桥本甲状腺炎的中西医治疗研究进展

摘要：近年来桥本甲状腺炎在我国的发病率逐年递增，中医药治疗桥本甲状腺炎取得良好效果。本文主要从中医病因病机、中医药治疗（分期辨证治疗、自拟方治疗、针灸及其他中医特色治疗）、西药治疗及中西医结合治疗等方面对桥本甲状腺炎的研究进展进行综述，以期为临床诊疗提供新的思路。

关键词：桥本甲状腺炎；病因病机；中西医结合治疗；针灸

中图分类号：R736.1                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2025.02.038

文章编号：1006-1959（2025）02-0188-05

Research Progress of Chinese and Western Medicine Treatment of Hashimoto's Thyroiditis

NIU Yang1， ZHANG Huiyan1， DENG Bin1， LIU Yuxing1， LI Minzhou2

（1.School of Traditional Chinese Medicine， Inner Mongolia Medical University， Hohhot 010110， Inner Mongolia， China;

2.Department of Endocrinology， Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine，

Hohhot 010010， Inner Mongolia， China）

Abstract： In recent years， the incidence of Hashimoto's thyroiditis in China has been increasing year by year， and traditional Chinese medicine has achieved good results in the treatment of Hashimoto's thyroiditis. This article mainly reviews the research progress of Hashimoto's thyroiditis from the aspects of traditional Chinese medicine etiology and pathogenesis， Chinese medicine treatment （stage syndrome differentiation treatment， self-made prescription treatment， acupuncture and moxibustion and other traditional Chinese medicine characteristic treatment）， Western medicine treatment and integrated traditional Chinese and Western medicine treatment， in order to provide new ideas for clinical diagnosis and treatment.

Key words： Hashimoto's thyroiditis; Etiology and pathogenesis; Chinese and western medicine treatment; Acupuncture and moxibustion

桥本甲状腺炎（Hashimoto’s thyroiditis， HT）是一种自身免疫性疾病，该病早期可不出现临床症状，或者仅仅表现为甲状腺自身免疫性抗体（TPOAb、TgAb）水平升高，早中期出现一过性甲状腺功能亢进，后期常发生甲状腺功能减退等[1]。（剩余9384字）