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1、·1684·遼寧中醫(yī)雜志2014年第41卷第8期DOI∶10．13192/j．issn．1000-1719．2014．08．054清肝瀉火法治療甲狀腺功能亢進(jìn)癥的臨床研究12鄭仲華，曾慶明(1．鄭州市中醫(yī)院糖尿病科，河南鄭州450007;2．桐柏縣衛(wèi)生學(xué)校，河南桐柏縣474750)摘要:目的:觀察清肝瀉火法治療肝火旺盛型甲狀腺功能亢進(jìn)癥的臨床療效。方法:將甲亢患者60例采用隨機(jī)數(shù)字表法隨機(jī)分為治療組和對(duì)照組各30例。兩組病例均采用常規(guī)西醫(yī)治療，口服他巴唑片，治療組在常規(guī)治療基礎(chǔ)上加服中藥，30d為1個(gè)療程，治療3個(gè)療
2、程。結(jié)果:治療組總有效率93.33%，對(duì)照組總有效率83.33%，兩組對(duì)比，差別有統(tǒng)計(jì)學(xué)意義(P＜0.05);兩組均可調(diào)節(jié)甲狀腺激素水平，與治療前相比，差別有統(tǒng)計(jì)學(xué)意義(P＜0.01)，治療后兩組對(duì)比，差別有統(tǒng)計(jì)學(xué)意義(P＜0.05或P＜0.01);治療組在改善中醫(yī)臨床癥狀，減少副反應(yīng)方面，療效優(yōu)于對(duì)照組，差別有統(tǒng)計(jì)學(xué)意義(P＜0.05)。結(jié)論:清肝瀉火法能夠調(diào)節(jié)甲狀腺素水平、改善中醫(yī)癥狀和體征、減少不良反應(yīng)，比單純西藥治療甲亢療效顯著。關(guān)鍵詞:甲亢;辨證;肝火旺盛;清肝瀉火中圖分類號(hào):Ｒ581．1文獻(xiàn)標(biāo)志碼:B文章
3、編號(hào):1000-1719(2014)08-1684-03ClinicalObservationonLiver－clearingandFire－purgingTherapyofHyperthyroidism12ZHENGZhonghua，ZENGQingming(1．ZhengzhouHospitalofTCM，Zhengzhou450007，He'nan，China;2．TongbaiCountryMedicalSchool，Tongbai474750，He'nan，China)Abstract:Objective:
4、Toobservetheclinicalefficacyofliver－clearingandfire－purgingtherapyofhyperthyroidism．Meth-ods:60patientswithhyperthyroidismusingrandomnumbertableswererandomlydividedintotreatmentandcontrolgroupswith30patientsineach．BothgroupsweretreatedwithconventionalWesternmed
5、icine，oraladministrationofmethimazoletablets．ThetreatmentgroupaddedtraditionalChinesemedicinetreatment．30dayswasacourseoftreatment，andthetreatmentlastedfor3courses．Ｒesults:Treatmentgroup'stotaleffectiverate93．33%andthecontrolgroup'swas83．33%．Therewasstatistical
6、differ-encebetweentwogroups(P＜0．05)．Twogroupsbothcanregulatethethyroidhormonelevelandtherewasstatisticaldifferenceaftertreatmentintwogroups(P＜0．01)．Aftertreatment，thetwogroupshadstatisticaldifference(P＜0．05orP＜0．01)．Treatmentgroupwassuperiortocontrolgroupinimpr
7、ovingTCMclinicalsymptomsaswellasreducingsideeffectsandthediffer-encehadstatisticsmeaning(P＜0．05)．Conclusion:Liver－clearingandfire－purgingtherapycanregulatethethyroidhormonelevels，improvethesymptomsandsignsoftraditionalChinesemedicineandreduceadversereactionsand
8、itissuperiortoWesternmedicinetreatmentofhyperthyroidism．Keywords:hyperthyroidism;syndromedifferentiation;liver－fireexcess;clearingliverandpurgingfire甲狀腺功能亢進(jìn)癥(hyperthyroidism
