耳针治疗青少年地方性甲状腺肿的临床研究

Clinical Study on Ear Acupuncture Treatment of Juvenile Endemic Goiter

目的观察耳针配合加碘盐治疗青少年地方性甲状腺肿的临床疗效。方法选择居住在缺碘地区5年以上,年龄在1217岁之间,经触诊法证实为甲状腺肿大在Ⅰ度以上的患者列为观察对象,共75例,并随机分为耳针配合加碘盐治疗组和单纯食用加碘盐对照组。观察两组治疗前后甲状腺及尿碘的变化。结果治疗组疗效明显优于对照组,P<0.05;且尿碘降低,两组间比较,P<0.05。结论在缺碘地区,在加碘盐食用量相对恒定的情况下,耳针治疗可促进已肿大的甲状腺缩小或消退;提高机体对碘的吸收、储存;可促使失调的脏腑功能恢复正常;弥补单纯食用加碘盐治疗地甲肿的不足。

Objective To investigate the clinical efficacy of ear acupuncture in cooperation with iodine-added salt for treating juvenile endemic goiter.Methods The objects were 75 patients who lived in an iodine-deficiency area for over 5 years and were exactly diagnosed with thyroid enlargement over grade Ⅰ. They were randomly divided an ear acupuncture plus iodine-added salt treatment group and a simple iodine-added salt control group. The treatment group received ear acupuncture. The points selected were neck, endocrine, subcortex, spleen, stomach, liver and kidney. Filiform needles were used for acupuncture. The treatment was given 7 days as a course, 3 courses in all. The thyroid and urine iodine were observed in the two groups before and after treatment.Results The curative effect was significantly better in the treatment group than in the control group (P<0.05). Urine iodine was significantly lower in the treatment group than in the control group (P<0.05). Conclusion In an iodine-deficiency area and under relatively constant iodine-addes salt intake, ear acupuncture can promote the reduction or disppearance of enlarged thyroid, help the absorption and storage of iodine by the body, restore disturbed visceral functions and make up for shortcomings in treating endemic goiter with simple iodine-added salt.