中西医结合治疗甲状腺功能亢进118例疗效观察

Clinical observation on hyperthyroidism treated with integrated TCM and western medicine in 118 patients

[目的]观察中西医结合治疗甲状腺功能亢进症(简称甲亢)的临床疗效。[方法]将181例甲亢患者随机分成中西医结合治疗组(118例),即中药(龙胆草、栀子、黄芩、柴胡、郁金、生龙骨、生牡蛎等)和小剂量他巴唑合用;西医治疗组(63例),单用他巴唑。疗程为4周。观察结束后进行总疗效、甲状腺激素水平的比较。[结果]中西医结合治疗组总有效率为94.9%与西医治疗组总有效率的84.1%比较,有显著性差异(P<0.05);在改善甲状腺功能方面结果相似(P>0.05)。[结论]中西医结合治疗甲亢疗效好,值得推广。

[Objective] To observe the therapeutic effect of integrated treatment of traditional Chinese medicine and western medicine in patients with hyperthyroidism. [Methods] One hundred and eighteen patients were randomly divided into two groups. One group （n=118） was treated with Chinese crude drug（Long dancao, Zhizi, Huangqin, Chaihu,Yujin, Sheng longmu etc.） and low dose Tapazol. The other group（n=63） was with western medicine Tapazol. The course of therapy was four weeks. The total effective rate and the level of thyroid hormones was compared after therapy. [Results] The total effective rate of the combined group was significantly different when compared with that of the western medicine group（94.9% vs 84.1%, P〈0.05）. There was no significant difference in improving the function of thyroid（P〉0.05）. [Conclusions] The effect of combined treatment of TCM and Western medicine is better than that of Western medicine only. It is deserved to generalize this method.