针药结合治疗肝脾不调、气滞痰凝型甲状腺结节的临床效果观察

Observation on the Clinical Effect of Acupuncture and Medicine in the Treatment of Thyroid Nodules with Liver and Spleen Disorders and Qi Stagnation and Phlegm Coagulation

目的探讨针药结合治疗肝脾不调、气滞痰凝型甲状腺结节患者的效果.方法选取该院2020年1月—2021年1月收治的84例肝脾不调、气滞痰凝型甲状腺结节患者,按照随机数字表法分为对照组与观察组,各42例.对照组采用理气化痰消瘤方治疗,观察组在对照组基础上加用针灸治疗,均连续治疗3个月.对比两组的临床疗效、中医症候积分及甲状腺结节直径.结果观察组的治疗总有效率为95.24%,高于对照组的80.95%,差异有统计学意义(P<0.05).治疗前,两组各项中医症候积分、甲状腺结节直径比较,组间差异无统计学意义(P>0.05);治疗后,观察组的胸闷心悸、急躁易怒、倦怠乏力、纳差积分低于对照组,甲状腺结节直径小于对照组,组间差异有统计学意义(P<0.05).结论针药结合治疗肝脾不调、气滞痰凝型甲状腺结节的疗效确切,可有效减轻患者的临床症状,缩小甲状腺结节,使患者尽早康复.

Objective To explore the effect of acupuncture and medicine in the treatment of thyroid nodules with liver and spleen disorders and qi stagnation and phlegm coagulation.Methods A total of 84 patients with thyroid nodules with liver and spleen disorders and Qi stagnation and phlegm coagulation who were admitted to our hospital from January 2020 to January 2021 were selected and divided into the control group and the observation group according to the random number table method,with 42 cases in each group.The control group was treated with Liqi Huatan Xiaoliu Recipe,and the observation group was additionally treated with acupuncture and moxibustion on the basis of the control group.Both were treated continuously for 3 months.The clinical efficacy,TCM syndrome score and thyroid nodule diameter were compared between the two groups.Results The total effective rate of the observation group was 95.24%,which was higher than 80.95%of the control group,and the difference was statistically significant(P<0.05).Before treatment,the TCM syndrome scores and thyroid nodule diameter were compared between the two groups,and there were no significant differences between the two groups(P>0.05);after treatment,the chest tightness and palpitations,irritability,fatigue,and anorexia in the observation group were lower than those in the control group,and the diameter of thyroid nodules was smaller than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of acupuncture and medicine in the treatment of thyroid nodules with liver and spleen disorders and qi stagnation and phlegm coagulation is effective,can effectively alleviate the clinical symptoms of patients,reduce thyroid nodules,and enable patients to recover as soon as possible.