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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癥的臨床療效。方法:將甲亢患者60例采用隨機數(shù)字表法隨機分為治療組和對照組各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個療程,治療3個療
2、程。結(jié)果:治療組總有效率93.33%,對照組總有效率83.33%,兩組對比,差別有統(tǒng)計學意義(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)計學意義(P<0.01),治療后兩組對比,差別有統(tǒng)計學意義(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)于對照組,差別有統(tǒng)計學意義(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:R581.1文獻標志碼:B文章
3、編號: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甲狀腺功能亢進癥(hyperthyroidism