摘要
目的:观察消瘿散结方联合蜡泥灸治疗甲状腺结节合并乳腺增生的临床疗效。方法:将患甲状腺结节合并乳腺增生的80例患者按照随机数字表法分为观察组(消瘿散结方+蜡泥灸)和对照组(消瘿散结方),连续治疗3个月。观察治疗前后两组甲状腺结节症状积分、乳腺增生症状积分、中医症状积分及促甲状腺激素(thyroid stimulating hormone,TSH)、雌激素(estrogen,E_(2))水平的变化情况;并通过红外人体表面温度快速筛检仪采集患者甲状腺、乳腺的体表温度和异常红外区域,对比两组的疗效差异。结果:观察组甲状腺结节主症评分、乳腺增生主症评分、中医症状评分较对照组改善显著(P<0.05)。治疗后,观察组TSH、E2水平低于对照组(P<0.05)。观察组在降低甲状腺结节、乳腺增生局部异常升高的温度及缩小异常高温区域方面优于对照组(P<0.05)。结论:消瘿散结方结合蜡泥灸治疗甲状腺结节合并乳腺增生疗效确切,能有效缩小增生结节,改善患者不适症状。
Objective:To observe the clinical efficacy of goiter-resolving nodule-removing formula combined with wax mud moxibustion in the treatment of thyroid nodules combined with mammary gland hyperplasia.Methods:Eighty patients suffering from thyroid nodule combined with mammary gland hyperplasia were divided into the observation group(goiter-resolving nodule-removing formula combined with wax mud moxibustion)and control group(goiter-resolving nodule-removing formula)according to random number table method,treated for three consecutive months.The changes of thyroid nodule symptom score,mammary gland hyperplasia symptom score,TCM symptom score and thyroid stimulating hormone(TSH)and estradiol(E_(2))levels in the two groups were observed before and after the treatment;and the body surface temperatures and abnormal infrared zones of the patients'thyroid glands and mammary glands were collected by infrared human body surface temperature rapid screening instrument to compare the therapeutic efficacy of the two groups.Results:The main symptom score of thyroid nodule,main symptom score of breast hyperplasia and TCM symptom score of the observation group improved significantly compared with the control group(P<0.05).After treatment,TSH and E_(2) levels in the observation group were lower than those in the control group(P<0.05).The observation group was better than the control group in reducing the abnormally elevated localized temperature of thyroid nodules and breast hyperplasia and shrinking the abnormally high temperature area(P<0.05).Conclusion:The treatment of thyroid nodules and mammary gland hyperplasia with the combination of goiter-resolving nodule-removing formula and wax mud moxibustion is effective in narrowing the nodule hyperplasia and improving the discomfort of patients.
作者
唐宜春
郝晓东
杨翠霞
TANG Yichun;HAO Xiaodong;YANG Cuixia(Panyu Hospital of Chinese Medicine,Guangdong 511400,China)
出处
《西部中医药》
2024年第6期142-146,共5页
Western Journal of Traditional Chinese Medicine
基金
2020年度广州市番禺区科技计划医疗卫生项目(2020-Z04-017)。
关键词
甲状腺结节
乳腺增生
消瘿散结方
蜡泥灸
红外热成像
thyroid nodule
breast hyperplasia
goiter-resolving nodule-removing formula
wax mud moxibustion
infrared thermography
