针刺促进甲状腺次全切除术后快速康复的临床观察

Clinical Observation of Subtotal Thyroidectomy Forepart Recovery by Acupuncture Therapy

目的:观察针刺促进甲状腺次全切除术后患者快速康复、控制不适症状的临床效果。方法:选取甲状腺次全切除术后患者120例,随机分为A、B、C组,每组40例,A组采用常规处理辅助针刺,B组常规处理辅助安慰针刺,C组仅常规处理。基于综合医院焦虑抑郁量表(HADS)以及视觉模拟评分法(VAS)设计问卷评估不适症状程度,综合对比术后快速康复效果。结果:在所有观察因子中,A组的总有效率高于其余两组,但在改善咽痛和咯痰症状的发作频率中不能排除安慰剂效果,对改善头晕头痛的发作频率、声音嘶哑症状的程度没有效果;针刺干预对其余各项均有明显优势(P<0.05)。结论:针刺能有效缓解甲状腺次全切除术后患者的焦虑抑郁状态以及大部分不适症状。

Objective： To observe the clinical effect of forepart recovery and the control of malaise after subtotal thyroidectomy by acupuncture therapy. Methods： 120 patients with subtotal thyroidectomy were recruited and randomly allocated to three groups which were named as Group A,B and C. Group A（ 40 patients） was given regular treatment and acupuncture therapy; Group B（ 40 patients） was given regular treatment and placebo acupuncture therapy; Group C（ 40 patients） was given only regular treatment. Then assess the malaise according to HADS and VAS and compare the effects of forepart recovery comprehensively. Results： In all the observation factors,the total effective rate of Group A was higher than that of other two groups. However,the placebo effect could not be excluded in abating the incidence of pharyngalgia and expectoration. Acupuncture therapy has no effect either on reducing the frequency of dizziness and headache or relieving the hoareness symptom,but it has an obvious advantage in other observation factors（ P〈0. 05）. Conclusion： Acupuncture can release anxiety,depression and most malaise of patients with subtotal thyroidectomy.