加味补中益气汤疗原发性甲状腺功能减退症的临床观察.pdfVIP

中文摘要 目的：观察以加味补中益气汤加减治疗原发性甲状腺功能减退症的临床疗效，研 究中医治疗该病的优势。 方法：参照2007 版《中国甲状腺疾病诊治指南》的诊断标准，符合甲状腺功能 减退症的诊断，选取60 例原发性甲状腺功能减退症患者作为研究对象，将符合纳入 标准的甲状腺功能减退症各组病例随机分为两组：治疗组30 例，在基础治疗前提下， 加用加味补中益气汤煎剂；对照组30 例，采用单纯西药治疗，两组均以 1 个月为一 疗程，总疗程3 个月。治疗前后分别检测记录患者的甲功、血常规、血脂、心电图， 详细观察记录中医症候的变化。 结果：1、治疗组综合疗效总有效率为92.59%，对照组为78.57%，两组间比较有 差异性 （P＜0.05）。2、治疗组中医症状改善总有效率为93.75%，对照组为72.73%， 两组间比较有差异性（P＜O.05）。3、加味补中益气汤在改善甲功、调节血脂、防治 贫血等方面均有较好的疗效，并能显著减轻患者的软弱、嗜睡、眼睑水肿、不耐寒、 厌食等症状。治疗组与对照组治疗前后比较有显著差异（P＜0.05），但组间比较无显 著性差异 （P＞0.05）。 关键词 原发性甲状腺功能减退症；加味补中益气汤；临床观察； Modified Buzhongyiqitang treatment of primary hypothyroidism in clinical observation ABSTRACT Objective:In order to f Modified Buzhongyiqitang treatment of primary hypothyroidism reduced the clinical curative effect of Chinese medicine treatment of the disease, the advantage. Methods: conform to the diagnosis of primary JiaJian selected patients with 60 cases as the research object, randomly divided into two groups: treatment group in 30 cases based therapy premise, add a flavored fill in yiqi soup decoction; 30 cases in, using pure western medicine treatment, both groups with 1 months for one period of treatment, total treatment for 3 months. Before and after the treatment of patients with thyroid test records, respectively, and routine blood, blood fat, electrocardiogram, detailed observations of TCM symptoms changed. Record The results: 1,The total effective rate in treatment group total curative effect for 87.50% group and 69.70%, compared between the two groups have difference (P 0.05). 2, TCM symptoms improved treatment group total effective control for 93.75%, for 72.73%, compared between the two groups have difference (P O.05). 3, Modified Buzhongyiqitang, lipid in improving the thyroid, prevent anemia etc. Has good effect, and can significantly reduce the weak, drowsiness, patients with eyelid edema, not hardy, anorexia an