解毒散结汤对结节性甲状腺肿疗效的相关性探究.pdfVIP

提 要 目的：观察解毒散结汤对结节性甲状腺肿的疗效，评估其临床价值。方法：选临 床符合试验病例标准的结节性甲状腺肿病例60例，随机分为两组：治疗组与对照组各 30例。在两组均坚持甲状腺肿饮食的基础上，治疗组加用解毒散结汤，对照组加用优 甲乐，治疗4个月，着重观察治疗前后患者的甲状腺肿大程度，结节大小及数目，甲 状腺功能(FT 、FT 、TSH等)及主要临床症状、体征的变化。结果：经统计学分析， 3 4 治疗组与对照组在治疗前的一般资料，包括性别、年龄、中医症候量表评分等方面无 统计学差异，具有可比性。经临床观察，对照组与治疗组在减轻甲状腺肿及结节上均 有疗效，但治疗组疗效明显优于对照组；在改善临床症状、体征，甲状腺功能(其中 的TSH) ，甲状腺肿大程度，结节大小上治疗组明显优于对照组（P0.05 ）。 结论： 解毒散结汤在改善临床症状、体征，甲状腺功能(其中的TSH)，甲状腺肿大程度，甲 状腺结节大小及数目上较优甲乐有明显的优势，显示了疏肝理气、健脾化痰、解毒散 结之法对于结节性甲状腺肿患者有良好的治疗效果。 关键词 解毒散结汤；结节性甲状腺肿；优甲乐；疗效评估 JieDuSanJieTang decoction of tuberous strumous curative effect of correlation research Speciality:Internal medicine of TCM Author:YanXiaoxiao Tutor:Professor ZhaoQuanlin Abstract Objective: Observe JieDuSanJieTang decoction of goitre multinodulaire curative effect, evaluate the clinical value. Methods: Choose clinical accord with test cases standard tuberous strumous cases 60 cases, randomly divided into two groups: treatment group and control group every 30 cases. In both groups adhere to strumous diet, on the basis of the treatment group add JieDuSanJieTang , combined with Euthyrox, the treatment of 4 months. Mainly observed before and after treatment of patients with strumous degree, nodular size and number, thyroid function (FT3 、FT4 、TSH etc) and major clinical symptoms and signs of change. Observed simultaneously two groups of Euthyrox armour dose Results: By statistical analysis, the treatment group and control group general data before therapy, including gender, age, TCM aspects of sickness rating scale was not statistically significant, comparable.The clinical observation and control group and the treatment group in alleviating strumo