Homoeopathic Treatment of Young Females with Subclinical Hypothyroidism: A Prospective Observational Study

P. Arora, Meetu Goel
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Abstract

Abstract Introduction  Subclinical hypothyroidism (SCH) is defined as elevated levels of serum thyroid-stimulating hormone (TSH) (TSH: 5–20 μIU/mL; normal range: 0.15–3.5 μIU/mL) with normal serum levels of free thyroid hormones mainly free T4 (0.89–1.76 ng/dL). SCH does not affect the development process very much and hence there are no universally accepted recommendations for its treatment but it is important to have optimal thyroid function for normal growth and development in children; it may progress to overt hypothyroidism and other health issues. So, its diagnosis in early stage of life and hence its treatment will definitely benefit the growing children. Objective  The objective of this study is to review the role of homoeopathy in SCH in younger aged females. Method  Total 212 cases were screened, 54 diagnosed cases of SCH were enrolled on the basis of inclusion criteria and 4 cases dropped out from the study. Total 50 cases were given individualised homoeopathic medicines based on repertorisation of totality of symptoms and in consultation with Materia Medica. Result  Results showed significant difference after comparing pre- and post-treatment values using paired t -test; the difference in mean values of Serum TSH values was found to be statistically significant ( p -value < 0.00001). At baseline, the mean TSH level was 7.158 μIU/mL which decreased to 4.368 μIU/mL ( p  < 0.00001). Conclusion  This study indicates the positive role of homoeopathic therapy in the management of SCH. Such study with bigger sample size through randomised controlled trial is needed for further validation.
顺势疗法治疗年轻女性亚临床甲状腺功能减退:一项前瞻性观察研究
亚临床甲状腺功能减退症(SCH)定义为血清促甲状腺激素(TSH)水平升高(TSH: 5-20 μIU/mL;正常范围:0.15 ~ 3.5 μIU/mL),血清游离甲状腺激素水平正常,主要是游离T4 (0.89 ~ 1.76 ng/dL)。SCH对发育过程影响不大因此没有普遍接受的治疗建议但重要的是要有最佳的甲状腺功能以保证儿童的正常生长发育;它可能发展为明显的甲状腺功能减退和其他健康问题。因此,在生命的早期阶段对其进行诊断和治疗肯定会使正在成长的儿童受益。目的探讨顺势疗法在年轻女性SCH中的作用。方法共筛选212例患者,根据纳入标准纳入54例确诊的SCH患者,4例退出研究。共有50例患者根据全部症状的重新记录并咨询本院,给予个体化顺势疗法药物。结果经配对t检验比较治疗前后值,结果有显著性差异;两组血清TSH值均值差异有统计学意义(p < 0.00001)。基线时平均TSH水平为7.158 μIU/mL,降至4.368 μIU/mL (p < 0.00001)。结论本研究表明顺势疗法在治疗SCH中的积极作用,需要更大样本量的随机对照试验进一步验证。
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