清肝泻火软坚散结法治疗肝火旺盛型甲亢的临床探究.pdfVIP

提 要 目的：观察清肝泻火、软坚散结法治疗中医辨证属于肝火旺盛型甲状腺机能亢进 症(Graves 病)的临床疗效，比较中药与西药对患者实验室相关指标的影响，为临床 使用提供理论依据。方法：1.病例采集及分组：本研究纳入病例来源于山东中医药大 学附属医院门诊，共60人。随机分为二组，每组各30人，即西药对照组、中药联合 他巴唑干预组。干预组和对照组患者的性别、年龄、病程、临床表现、甲状腺激素水 平、甲状腺肿大、突眼程度，经统计学检验，无显著差异，P0.05，具有可比性。2. 治疗措施：中药联合他巴唑干预组：同时服用中药与他巴唑。中药每日一剂，水煎 300ml，分早晚两次服。同时服用他巴唑5-10mg，每日3次，甲状腺激素水平恢复正 常后逐渐减量，每次5mg。西药对照组：他巴唑5-10mg，每日3次，甲状腺激素水平 恢复正常后逐渐减量，每次 5mg。两组均连续观察 10 周。两组病人均充分休息，避 免精神刺激，充分营养，避免进食含碘食物、药物以及辛辣的食物，避免饮酒、抽烟、 浓茶和咖啡。3.统计学方法：采用 SPSS16.0 软件包进行统计学处理，所有数据以 x- ±s表示，组间资料比较采用方差分析，同组治疗前后比较采用t检验，以P＜0. 05 为有统计学意义，P＜0. 01 为有显著性差异。结果：以清肝泻火、软坚散结法配合 西药他巴唑治疗甲状腺功能亢进症的疗效显著优于单纯的西药治疗。 关键词 甲亢；肝火旺盛；中医治疗 Liver Xiehuo, Endometriosis Treatment of strong anger-based clinical effect of hyperthyroidism Speciality: Internal Medicine of T.C.M Rheumatic Disease Author: ChenLiyan Tutor: Professor XuYunsheng Abstract Objective: Liver Xiehuo, TCM Treatment of Endometriosis is strong anger type of hyperthyroidism (Graves disease) clinical efficacy, more patients with traditional Chinese medicine and western medicine on the impact of related laboratory parameters, provides a theoretical basis for the clinical use . Method: 1. Case Collection and Grouping: This study included patients from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine clinic, a total of 60 people. Randomly divided into two groups, each group of 30 people, or comparison group, traditional Chinese medicine combined methimazole treatment group. Intervention group and control group were sex, age, disease duration, clinical manifestations, thyroid hormone levels, goiter, exophthalmos extent, the statistical test, no significant difference, P 0.05, comparable. 2. Treatment: traditional Chinese medicine combined methimazo