首页|散结消瘿方治疗甲状腺结节(痰结血瘀证)疗效及对甲状腺功能的影响

散结消瘿方治疗甲状腺结节(痰结血瘀证)疗效及对甲状腺功能的影响

扫码查看
目的 探讨散结消瘿方治疗甲状腺结节(痰结血瘀证)疗效及对甲状腺功能的影响.方法 选取我院收治的甲状腺结节患者 70 例,随机分为 2 组.对照组予动态观察,观察组联合散结消瘿方治疗,均连续治疗 8 周.观察 2 组治疗前后中医证候积分、超声指标(甲状腺结节最大横径、甲状腺结节最大横径缩小数值及缩小比例)、甲状腺功能[游离三碘甲状腺氨酸(FT3)、游离四碘甲状腺氨酸(FT4)、促甲状腺激素(TSH)]、甲状腺自身抗体[甲状腺过氧化物酶抗体(TPoAb)、甲状腺球蛋白抗体(TgAb)]水平,并比较2组临床总有效率和治疗安全性.结果 2组治疗后各中医证候积分、甲状腺结节最大横径、TgAb及TPoAb指标均降低(P<0.05),且观察组低于对照组(P<0.05);2 组甲状腺结节最大横径缩小数值及缩小比例均升高(P<0.05),且观察组较对照组高(P<0.05);治疗后观察组FT3、FT4水平均升高(P<0.05),TSH水平降低(P<0.05),对照组治疗前后甲状腺功能指标无明显变化(P>0.05);观察组总有效率为 88.6%%,对照组总有效率为 68.6%,观察组高于对照组(P<0.05);2 组均未出现用药不良反应.结论 散结消瘿方治疗甲状腺结节(痰结血瘀证)效果明显,能够缓解临床症状,改善甲状腺功能.
Therapeutic effect of Sanjie Xiaoying Formula on thyroid nodules(syndrome of phlegm binding and blood stasis)and its influence on thyroid function
Objective To explore the therapeutic effect of Sanjie Xiaoying Formula on thyroid nodules(syndrome of phlegm binding and blood stasis)and its influence on thyroid function.Methods 70 patients with thyroid nodules admitted to Tongling City Maternal and Child Health Hospital were selected and randomly divided into the control group and the observation group.The control group received dynamic observation,and the observation group received combined treatment with Sanjie Xiaoying Formula,both groups were treated continuously for 8 weeks.Traditional Chinese medicine(TCM)syndrome scores,ultrasonic indicators(maximum transverse diameter of thyroid nodules,the value and proportion of reduction in maximum transverse diameter),thyroid function indicators[free triiodothyronine(FT3),free tetraiodothyronine(FT4),thyroid-stimulating hormone(TSH)],and thyroid autoantibodies[thyroid peroxidase antibody(TPoAb),thyroglobulin antibody(TgAb)]levels before and after treatment in two groups were observed,and the total clinical effective rate and treatment safety between two groups were compared.Results After treatment,various TCM syndrome scores,maximum transverse diameter of thyroid nodules,and levels of TgAb and TPoAb decreased in both groups(P<0.05),and the observation group was lower than the control group(P<0.05);The value and proportion of reduction in maximum transverse diameter of thyroid nodules in both groups increased(P<0.05),and the observation group was higher than the control group(P<0.05).After treatment,the levels of FT3 and FT4 in the observation group increased(P<0.05),while TSH level decreased(P<0.05).There was no significant change in thyroid function indicators in the control group before and after treatment(P>0.05).The total effective rate of the observation group was 88.6%,and the total effecive rate of the control group was 68.6%,and the observation group was higher than the control group(P<0.05).Both groups did not experience any adverse reactions related to medication.Conclusion Sanjie Xiaoying Formula has the significant effect in the treatment of thyroid nodules(syndrome of phlegm binding and blood stasis),which can alleviate clinical symptoms and improve thyroid function.

thyroid nodulessyndrome of phlegm binding and blood stasisSanjie Xiaoying Formulathyroid functionultrasonic indicatorssecurity

王济玉、谢勤

展开 >

安徽省铜陵市妇幼保健院,安徽 铜陵 244000

安徽省铜陵市中医医院,安徽 铜陵 244000

甲状腺结节 痰结血瘀证 散结消瘿方 甲状腺功能 超声指标 安全性

安徽省重点研究与开发项目安徽省中医药传承创新项目

2004f08040452022ccyb24

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(9)