摘要
目的探讨中医从肝病治对甲状腺功能亢进患者的治疗效果。方法选取2014年1月—2018年3月该院收治的84例甲状腺功能亢进患者,采用随机数字表法分为中西医组和西医组各42例,两组均给予西医常规治疗,中西医组同时给予中医清肝泻火汤剂治疗,疗程12周;对比治疗前后患者血清三点甲状腺原氨酸(FT3)、游离甲状腺素T4(FT4)、促甲状腺素(TSH)、心率、中医证候积分及临床效果。结果治疗前,中西医组和西医组患者的FT3、FT4、TSH水平及心率差异无统计学意义(P>0.05);治疗后,中西医组患者的FT3、FT4水平及心率均低于西医组(P<0.05),TSH水平显著高于西医组(P<0.05);治疗后,两组患者的FT3、FT4水平及心率较治疗前均降低(P<0.05),TSH较治疗前均升高(P<0.05);治疗前,中西医组和西医组患者的中医证候积分差异无统计学意义(P>0.05);治疗后,中西医组患者的中医证候积分低于西医组(P<0.05),两组患者的中医证候积分较治疗前均降低(P<0.05);治疗12周后,两组患者的临床疗效分布比较,差异具有统计学意义(P<0.05);治疗前,两组患者的血清AST、ALT水平差异不具有统计学意义(P>0.05);治疗后,中西医组血清AST、ALT水平均低于西医组(P<0.05)。结论中医从肝病治辅助西医基础治疗对于甲亢患者治疗具有更好的临床效果。
Objective To explore the therapeutic effect of traditional Chinese medicine on patients with hyperthyroidism treated from liver.Methods From January 2014 to March 2018,84 patients with hyperthyroidism admitted to our hospital were randomly divided into Chinese and Western medicine group and western medicine group.The two groups were treated with routine Western medicine.The Chinese and Western medicinegroup was given Qinggan Xiehuo Decoction for 12 weeks.Before and after treatment,the serumthyroxine(FT3),free thyroxine T4(FT4),thyrotropin(TSH),heart rate,TCM syndromeand clinical effects were compared.Results Before treatment,there were no significant differences in levels of FT3,FT4 and TSH or heart rate between the Chinese and Western medicine group and the Western medicine group(P>0.05).After treatment,the levels of FT3 and FT4 and heart rate of the Chinese and Western medicine group were lower than those of the Western medicine group(P<0.05).TSH level was significantly higher than that of western medicine group(P<0.05).After treatment,levels of FT3 and FT4 and heart rate were lower in both groups(P<0.05),and TSH level was higher than that before treatment(P<0.05).Before treatment,there was no significant difference in TCM syndrome scores between Chinese and Western medicine group and Western medicine group(P>0.05).After treatment,TCM syndrome scores of Chinese and Western medicine patients were lower than those of the Western medicine group(P<0.05).The TCM syndrome scores of the two groups were lower than those before treatment(P<0.05).After 12 weekstreatment,the clinical efficacy distribution of the two groups was statistically significant(P<0.05).Conclusion Traditional Chinese medicine has a better clinical effect on the treatment of hyperthyroidism patients fromliver.
作者
刘少杰
施燕红
王桂芬
李响
韩海霞
郭伟
LIU Shaojie;SHI Yanhong;WANG Guifen;LI Xiang;HAN Haixia;GUO Wei(Department of Hepatology,Suzhou Hospital of Traditional Chinese Medicine,Suzhou 234000,Anhui,China;The First Department of Neurology,Wanbei Coal and Electricity Group General Hospital/The Third Affiliated Hospital of Bengbu Medical College,Suzhou 234000,Anhui,China)
出处
《辽宁中医杂志》
CAS
2020年第10期93-96,共4页
Liaoning Journal of Traditional Chinese Medicine
关键词
中医
甲状腺功能亢进
清肝泻火汤
traditional Chinese medicine
hyperthyroidism
QingganXiehuo Decoction
