世界复合医学2024,Vol.10Issue(3) :188-190,194.DOI:10.11966/j.issn.2095-994X.2024.10.03.48

甲巯咪唑与滋水清肝饮联合治疗甲状腺功能亢进的效果

Effect of Combined Treatment of Hyperthyroidism with Methimazole and Zishui Qinggan Potion

丁雷 张强 杨春晓
世界复合医学2024,Vol.10Issue(3) :188-190,194.DOI:10.11966/j.issn.2095-994X.2024.10.03.48

甲巯咪唑与滋水清肝饮联合治疗甲状腺功能亢进的效果

Effect of Combined Treatment of Hyperthyroidism with Methimazole and Zishui Qinggan Potion

丁雷 1张强 1杨春晓1
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作者信息

  • 1. 淮安市第五人民医院内分泌科,江苏淮安 223300
  • 折叠

摘要

目的 探讨甲状腺功能亢进患者采用滋水清肝饮以及甲巯咪唑治疗的临床效果.方法 方便选取淮安市第五人民医院2020年2月—2023年5月收治的58例甲状腺功能亢进患者作为研究对象,采用投掷硬币法将其分为两组,各29例.对照组采用甲巯咪唑治疗,研究组在对照组的基础上,加用滋水清肝饮.比较两组患者的治疗总有效率、用药不良反应(白细胞减少、恶心呕吐、肝功能异常等)总发生率以及临床指标.结果 研究组的药物治疗总有效率为96.55%,高于对照组的72.41%,差异有统计学意义(χ2=6.725,P<0.05).治疗后,观察组的临床指标水平优于对照组,差异有统计学意义(P<0.05).两组患者不良反应发生率比较,差异无统计学意义(P>0.05).结论 滋水清肝饮与甲巯咪唑药物联合治疗甲状腺功能亢进,可明显提升疗效,且不会增加不良反应的发生率,显著改善血清游离三碘甲腺原氨酸水平等指标,可促进甲状腺功能亢进患者的良好预后.

Abstract

Objective To investigate the clinical effect of Zishui Qinggan Yin and methimazole in patients with hyperthyroidism.Methods A total of 58 patients with hyperthyroidism admitted to the Fifth People's Hos-pital of Huai'an City from February 2020 to May 2023 were selected as the study objects,and they were divided into two groups with 29 cases each by coin tossing method.The control group was treated with methimazole,and the study group was treated with Zishui Qinggan Yin based on the control group.The total effective rate,the to-tal incidence of adverse drug reactions(leukopenia,nausea and vomiting,abnormal liver function,etc.)and clinical indicators of the two groups were compared.Results The total effective rate of the study group was 96.55%,which was higher than 72.41%of the control group,and the difference was statistically significant(χ2=6.725,P<0.05).After treatment,the level of clinical indicators in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups of patients(P>0.05).Conclusion The combination therapy of Zishui Qinggan Yin and Methomydazole can significantly improve the efficacy of hyper-thyroidism without increasing the incidence of adverse reactions.It significantly improves serum levels of free triiodothyronine and other indicators,and can promote a good prognosis for patients with hyperthyroidism.

关键词

滋水清肝饮/甲巯咪唑/甲状腺功能亢进/药物疗效/用药不良反应

Key words

Zishui Qinggan potion/Methimazole/Hyperthyroidism/Drug efficacy/Adverse drug reac-tions

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出版年

2024
世界复合医学

世界复合医学

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