期刊文献+

小柴胡汤联合西药治疗亚急性甲状腺炎临床疗效分析 被引量:6

Clinical Efficacy of Xiaochaihu Decoction Combined with Western Medicine in the Treatment of Subactute Thyroiditis
下载PDF
导出
摘要 目的:观察小柴胡汤联合西药治疗亚急性甲状腺炎(SAT)的临床疗效。方法:选择2017年5月至2019年1月在门诊和住院部就诊的SAT患者80例,按入院顺序进行1:1分为两组,每组40例,西医组采用抗炎镇痛疗法治疗,中西药组则需加用小柴胡汤剂治疗。比较两组甲状腺功能生化指标水平,并记录两组患者临床治疗效果。结果:80例患者治疗后FT3、FT4及TSH均显著改善,与治疗前相比差异具有统计学意义(P<0.01),此外,治疗一个疗程后两组甲状腺功能指标相比,中西药组效果则更优(P<0.01),且中西药组患者甲状腺恢复正常率更高(P<0.01)。西医组治愈患者5例,治疗有效率75%,中西药组治愈患者10例,治疗有效率94%,两组治疗效果相比,差异显著(P<0.05)。结论:小柴胡汤联合西药治疗可有效提高SAT患者甲状腺功能,临床症状改善显著,值得临床推广。 Objective: To observe the clinical effect of Xiaochaihu decoction combined with western medicine on subacute thyroiditis(SAT). Methods: Eighty SAT patients recruited from May 2017 to January 2019, which were visited in clinics and inpatient departments, were randomly divided into two groups, 40 cases in each group. Western medicine group was treated with diclofenac sodium double-release enteric-coated capsule orally, while western medicine group was treated with Xiaochaihu decoction on the basis of Western medicine group. The biochemical indexes of thyroid function were compared between the two groups, and the clinical effects of the two groups were recorded. Results: FT3,FT4 and TSH of 80 patients were significantly improved after treatment, and the difference was statistically significant compared with before treatment(P<0.01). In addition, after treatment, the two groups of thyroid function indicators, the thyroid function indicators of the Chinese and Western medicine group was significantly better than the Western medicine group after treatment, and the rate of thyroid return to normal was higher in the treatment group(P<0.01). Five patients were cured in the western medicine group, the effective rate is 75%. Ten patients were cured in the Chinese and Western medicine group, the effective rate is 94%, there was a significant difference between the two groups(P<0.05).Conclusion: Xiaochaihu Decoction combined with western medicine can effectively improve the thyroid function of patients,the clinical symptoms were improved significantly, so it is worthy of clinical promotion.
作者 凌俊辉 马妮 曾烨 LING Junhui;MA Ni;ZENG Ye(Guangdong Meizhou Hospital of Traditional Chinese Medicine (Tianjiabing Hospital), Guangdong Meizhou 514000, China)
出处 《中医药临床杂志》 2019年第8期1537-1539,共3页 Clinical Journal of Traditional Chinese Medicine
关键词 小柴胡汤 西药治疗 急性期亚急性甲状腺炎 临床疗效 Xiaochaihu decoction Prescription addition and subtraction Acute subacute thyroiditis Comprehensive curative effect of TCM syndromes
  • 相关文献

参考文献8

  • 1张宏..清消方治疗亚急性甲状腺炎急性期(热毒壅盛型)的临床观察[D].长春中医药大学,2017:
  • 2安兴,翁祥文,彭波.从《伤寒论》谈小柴胡汤的临床运用[J].河北中医,2018,40(10):1578-1581. 被引量:11
  • 3张玉娥..小柴胡汤加减治疗肝经蕴热型复发性亚急性甲状腺炎临床观察[D].湖北中医药大学,2015:
  • 4陈冰丽..中药外敷法对亚急性甲状腺炎疼痛改善作用的回顾性研究[D].广州中医药大学,2016:
  • 5苏瀚清..亚急性甲状腺炎中医证候研究[D].广州中医药大学,2014:
  • 6公方雪..刘喜明教授治疗38例亚急性甲状腺炎临床观察[D].中国中医科学院,2016:
  • 7刘淑芸..小柴胡汤加减治疗上气道咳嗽综合征的临床研究[D].西南医科大学,2016:
  • 8王丽敏,张丽艳,谷松.解析小柴胡汤“和法”调节自身免疫性疾病机制[J].中华中医药学刊,2018,36(1):218-221. 被引量:35

二级参考文献28

共引文献44

同被引文献98

引证文献6

二级引证文献51

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部