中医药辨证论治38例桥本甲状腺炎临床疗效评价.docVIP

中医药辨证论治38例桥本甲状腺炎临床疗效评价

[摘要]目的：评价中医药辨证论治治疗桥本甲状腺炎临床疗效，为积极弘扬祖国医药的博大精深。方法：选取2010年1月-2013年3月在我院门诊治疗的76例桥本甲状腺炎患为研究对象，随机分为两组各38例，观察组采用中医药辩证论治；对照组采用甲状腺片治疗，疗程均为8周，疗程结束后观察两组患者治疗前后的临床表现及各相关理化参数的变化。结果：观察组显效31例，占81.58%；有效7例，占18.42%。总有效率为100%；对照组显效25例，65.79%，有效9例，占23.68%，无效4例，占10.53%。治疗后两组血清学相关参数比较存在显著差异（P＜0.05），有统计学意义。结论：中医药辩证治疗遵循“法随证立，方从法出”的原则，视各个体的证候变化而进行温补脾肾、化痰祛瘀进行宏观调控，以弥补西药甲状腺片缺乏辩证调控之不足，能明显提高临床治疗效果，值得临床推广运用。

[关键词]：桥本甲状腺炎；中医中药；疗效评价与体会

Chinesemedicinediagnosisandtreatment38casesofHashimotosthyroiditisclinicalevaluation

DaiYun-fengKunshanCityProvinceHospitalinJiangsu

[Abstract]Objective:ToevaluatethediagnosisandtreatmentofChinesemedicinetreatmentofHashimotosthyroiditisclinicalefficacy,andactivelypromotethemotherlandmedicineisprofound.Methods:January2010-2013inMarchinourclinictreated76casesofHashimotosthyroiditispatientsforthestudywererandomlydividedintotwogroupsof38patientsintheobservationgroupusingChinesemedicinedialecticaltheoryofgovernance;thecontrolgroupthyroidtabletstreatment,acourseofeightweeksaftertheendoftreatmentwasobservedinbothgroupsofpatientsbeforeandaftertreatmentofclinicalmanifestationsandrelevantphysicochemicalparameterschange.Results:Themarkedlyeffectivein31cases,accountingfor81.58%;validsevencases,accountingfor18.42%.Thetotaleffectiveratewas100%;effectivein25casesinthecontrolgroup,65.79%,effectivein9cases,accountingfor23.68%,4cases,accountingfor10.53%.Comparisonofthetwogroupsaftertreatment,thepresenceofserologicalparameterssignificantlydifferent(P0.05),therearestatisticallysignificant.Conclusion:Chinesemedicinedialecticaltherapyfollowthelawwithjustification,fromtheFrenchsideoutprinciple,dependingonthechangeineachindividualsyndromescarriedWarmingspleen,phlegmandbloodstasisandmacro-control,tocompensateforthelackofmedicinedialec