The normal value of thyroid peroxidase antibody should be <60IU/ml, thyroid peroxidase antibody 600IU/ml belongs to the obvious high, whether need to be treated, mainly combined with other thyroid indicators to determine the synthesis, there is no abnormalities of thyroid function and thyroid ultrasound, you can continue to observe; the emergence of abnormalities of the thyroid function, thyroid ultrasound, need to carry out treatment. 1. Pure anti-thyroid peroxidase antibody is high, suggesting that there is autoimmune reaction causing damage to the thyroid gland, showing that the thyroid function and thyroid ultrasound are normal, so there is no need to intervene for the time being, and the changes in the indexes as well as the clinical symptoms should be closely observed. 2. Hypothyroidism, free T3, T4 significantly lower, thyroid stimulating hormone level significantly higher, need to use levothyroxine sodium tablets, etc.; if there is obvious hyperthyroidism, also need to be treated, can be applied to the treatment of propylthiouracil, pay attention to avoid the emergence of pharmacological hypothyroidism. The specific treatment plan needs to be combined with clinical symptoms and auxiliary examination for comprehensive judgment, the above drugs need to be standardized treatment under the guidance of clinicians.