摘要
目的:探讨当归六黄汤对桥本甲状腺炎的治疗作用及超声对其诊断价值。方法:以92例桥本甲状腺炎患者为研究对象,随机分为2组,各46例。对照组接受低碘饮食治疗,观察组接受当归六黄汤加减并辅以低碘饮食,持续3个月,以超声诊断分析治疗前后桥本甲状腺炎患者甲状腺大小形态、回声特征及血流情况的变化。结果:治疗前,2组患者两侧叶及峡部各径指标、出现局限性回声降低、弥漫性低回声、弥漫网格状低回声、花边状分叶异常声像的比例及血流状况指标(最大血流量及血流阻力)差异均无统计学意义(P>0.05);经过3个月治疗后,观察组患者80.43%恢复正常声像,明显优于对照组的58.7%(P<0.01),2组患者治疗后甲状腺大小和血流状况各指标均有改善,且观察组患者改善均优于对照组(P<0.01)。结论:当归六黄汤对桥本甲状腺炎有一定的临床效果,可通过超声对患者治疗前后的甲状腺形态进行诊断。
Objective： To investigate the clinical value of the ultrasound in the diagnosis of thyroid morphology in patients with Hashimoto＇s thyroiditis treated with danggui liuhuang decoction. Methods： Ninety-two patients with Hashimoto＇s thyroiditis were randomly divided into the observation group and control group （46 cases each group）. The control group were treated with low iodine diet,and the observation group were treated with danggui liuhuang decoction combined with low iodine diet for 3 months. The size, shape,echogenicity characteristics and blood flow of thyroid gland were analyzed using uhrasonography before and after treatment. Results： Before treatment, of the differences of the length, width and thickness of bilateral thyroid lobes and isthmus, limitation of echo decreasing,diffuse low echo,diffuse grid-like low echo,ratio of lacy leaf abnormal sonogram and blood flow（ the maximum blood flow and blood resistance ） between two groups were not statistically significant （ P 〉 0.05 ）. After three months of treatment, the ratio of recovering to normal sound image in observation group and control group were 80.43 % and 58.70%, respectively, and the sound image characteristics in observation group was significantly better than that in control group（ P 〈 0.01 ）. After treatment, the size and blood flow indicators in two groups were improved, but the improvement degree of which in observation group was better than that in control group （P 〈 0.01 ）. Conclusions：The treatment of Hashimoto＇s thyroiditis with danggui liuhuang decoction has certain clinical effect, the Hashimoto＇s thyroiditis can be diagnosed by thyroid morphology detected by ultrasound before and after treatment.
出处
《蚌埠医学院学报》
CAS
2017年第2期249-252,共4页
Journal of Bengbu Medical College
关键词
桥本甲状腺炎
当归六黄汤
超声诊断
甲状腺形态
Hashimoto＇s thyroiditis
danggui liuhuang decoction
uhrasonography diagnosis
thyroid morphology
