摘要
目的观察颤针围刺法为主治疗原发型甲状腺机能亢进症的临床疗效。方法将82例原发型甲状腺机能亢进症患者随机分为治疗组50例和对照组32例。治疗组采用颤针围刺法配合常规针刺及耳穴贴压治疗,对照组采用常规药物治疗。比较两组复发率及各项不良反应发生率,观察两组复发患者症状和体征评分、各项实验室指标[血清游离三碘甲腺原氨酸(FT3)、血清游离甲状腺素(FT4)和促甲状腺激素(TSH)]、自治疗后至复发的时间及复发后各项实验室指标恢复正常所需时间。结果治疗组复发率为28.0%,对照组为53.1%,两组比较差异具有统计学意义(P<0.05)。两组治疗后各项不良反应发生率比较,差异均具有统计学意义(P<0.05)。治疗组复发患者症状和体征评分为(16.50±3.20)分,对照组为(26.20±4.10)分,两组比较差异有统计学意义(P<0.05)。治疗组复发患者复发时各项实验室指标(FT3、FT4、TSH)与对照组比较,差异均具有统计学意义(P<0.05)。治疗组复发患者从治疗后至复发时间为(19.55±7.53)个月,对照组为(13.42±8.32)个月,两组比较差异具有统计学意义(P<0.05)。治疗组复发患者各项实验室指标恢复正常所需时间为(1.55±0.55)个月,对照组为(1.95±0.75)个月,两组比较差异具有统计学意义(P<0.05)。结论颤针围刺法配合常规针刺及耳穴贴压是一种治疗原发型甲状腺机能亢进症的有效方法,能降低复发率,减少不良反应。
Objective To observe the clinical efficacy of surround trembling needling as main approach in treating primary hyperthyroidism. Method Eighty-two patients with primary hyperthyroidism were randomized into a treatment group of 50 cases and a control group of 32 cases. The treatment group was intervened by surround trembling needling plus conventional acupuncture and auricular point sticking, while the control group was given conventional medication. The recurrence rate and the incidences of adverse reactions of the two groups were compared. The symptom and sign score, laboratory indicators [free triiodothyronine (FT3), free thyroxine (FT4) and thyroid stimulating hormone (TSH)], the time from treatment to relapse and the time required for laboratory indicators to return to normal after relapse in the patients presenting a relapse in the two groups were observed. Result The recurrence rate was 28.0% in the treatment group and 53.1% in the control group, and there was a statistically significant difference between the two groups (P<0.05). The incidences of adverse reactions in the treatment group were significantly different from those in the control group (P<0.05). The symptom and sign score of the patients having a relapse was (16.50±3.20) in the treatment group and (26.20±4.10) in the control group, and there was a statistically significant difference between the two groups (P<0.05). The laboratory indicators (FT3, FT4 and TSH) of the patients showing a relapse in the treatment group were significantly different from those in the control group (P<0.05). The time from treatment to relapse was (19.55±7.53) months in the treatment group and (13.42±8.32) months in the control group, and there was a statistically significant difference between the two groups (P<0.05). The time required for laboratory indicators to return to normal after relapse was (1.55±0.55) months in the treatment group and (1.95±0.75) months in the control group, and there was a statistically significant difference between the two groups (P<0.05). Conclusion Surround trembling needling plus conventional acupuncture and auricular point sticking is an effective method in treating primary hyperthyroidism. It can reduce the recurrence rate and adverse reactions.
作者
谭双
TAN Shuang(Huguosi Hospital of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100035, China)
出处
《上海针灸杂志》
2019年第3期265-269,共5页
Shanghai Journal of Acupuncture and Moxibustion
