中医内服外敷法治疗亚急性甲状腺炎临床研究

Clinical research on treating subacute thyroiditis in TCM therapy

目的:探讨中药内服外敷联合治疗亚急性甲状腺炎的临床效果。方法:将2014年1-12月间接诊的亚急性甲状腺炎患者58例,随机分成两组,各29例。治疗组采用中药内服、外敷联合的治疗方法;对照组采用强的松和吲哚美辛肠溶片等西药方法进行治疗。1个月后对比两组患者的临床效果。结果:治疗组治愈24例,好转4例,未治愈1例,总有效率为96.55%;对照组治愈17例,好转7例,未治愈5例,总有效率为82.76%。两组患者在治疗后临床症状均有不同程度改善,但治疗组效果明显优于对照组,差异有统计学意义(P<0.05)。结论:在临床中采用中药内服外敷法治疗亚急性甲状腺炎疗效显著,且无不良反应,值得推广应用。

Objective： To investigate clinical efficacy of TCM therapy on subacute thyroiditis. Methods： From January 2014 to December 2014, 58 cases of subacute thyroiditis were randomly divided into two groups; the treatment group was given TCM therapy; and the control group was given Prednisone and Indomethacin enteric-coated tablets. In 1 month, clinical efficacy in two groups was compared. Results： In the treatment group, 24 cases were cured; 4 cases were improved; and 1 case was invalid; the total efficiency was 96.55%. In the control group, 17 cases were cured; 7 cases were improved; and 5 cases were invalid; the total efficiency was 82.76%. After the treatment, clinical symptoms in both groups were improved; and the treatment group was better than the control group （P〈0.05）. Conclusion： TCM therapy on subacute thyroiditis shows a significant effect, without adverse reaction, is worthy of clinical promotion.