摘要
目的:比较金针与不锈钢针治疗良性甲状腺结节的临床疗效。方法:将60例良性甲状腺结节患者随机分为两组,每组30例。两组均由曲池穴进针,透刺至臂臑穴。每次治疗60 min,每周治疗3次,连续治疗12周。观察两组治疗前后甲状腺结节直径的变化、甲状腺结节直径变化率和中医证候积分的变化。结果:金针组甲状腺结节直径在治疗3个月时明显小于治疗前,差异有统计学意义(P<0.05),不锈钢针组治疗前后差异无统计学意义(P>0.05),治疗后两组组间比较差异无统计学意义(P>0.05);金针组临床总有效率为32.0%(8/25),不锈钢针组为11.5%(3/26),两组比较差异无统计学意义(P>0.05);治疗后金针组甲状腺结节直径变化率与不锈钢针组比较,差异有统计学意义(P<0.05);治疗后金针组中医证候积分明显小于不锈钢针组,差异有统计学意义(P<0.05)。结论:金针可以有效缩小甲状腺结节,并改善临床症状。
Objective:To compare the clinical effect of golden needles and stainless steel needles in the treatment of thyroid nodule.Methods:60 patients with benign thyroid nodules were randomly divided into the control group and the study group,with 30 patients in each group.Both groups were treated with penetration needling from Quchi(LI11)to Binao(LI14).Stainless steel needles were used in the control group,whereas golden needles were used in the study group.The treatment was 60 min each time and three times per week for 12 weeks.The changes of thyroid nodule diameter,thyroid nodule diameter change rate and TCM syndrome integral were observed before and after the treatment in the two groups.Results:The diameter of thyroid nodule was significantly smaller after the treatment than that before the treatment in the study group(P<0.05);of which there was no statistical difference between before and after the treatment in the control group(P>0.05);there was no significant difference between the two groups after the treatment(P>0.05).The total effective rate was 32.0%(8/25)in the study group and it was 11.5%(3/26)in the control group,there was no significant difference between the two groups(P>0.05).The change rates of thyroid nodules were significantly higher in the study group than those in the control group(P<0.05).TCM syndrome integral was significantly lower in the study group than that in the control group(P<0.05).Conclusion:Penetration needling with golden needles can effectively reduce thyroid nodule and improve clinical symptoms.
作者
李志娟
王鑫
刘璐
赵洛鹏
薛立文
王少松
李彬
LI Zhijuan;WANG Xin;LIU Lu;ZHAO Luopeng;XUE Liwen;WANG Shaosong;LI Bin(Beijing Affiliated TCM Hospital to Capital Medical University, Beijing 100010, China;Beijing University of Chinese Medicine, Beijing 100029, China;Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China)
出处
《针灸临床杂志》
2021年第1期53-57,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
中国博士后科学基金第63批面上项目,编号:2018M630261
北京市医院管理局-科研培育计划项目,编号:pz2017030
北京市医院管理局第四批青苗计划,编号:QML20181001
北京市中医管理局燕京流派创新性传承“拳头”工程建设项目(2017年)。
关键词
甲状腺结节
痰结血瘀
金针
透刺
Thyroid nodule
Phlegm and blood stasis
Golden needles
Penetration needling
