中医辨证治疗亚急性甲状腺炎效果评定及研究

Effect Evaluation and Research of Treatment Based on Syndrome Differentiation for Subacute Thyroiditis

目的探讨分析中医辨证治疗亚急性甲状腺炎的效果。方法该研究对象选取2013年2月—2015年10月该院诊治的100例亚急性甲状腺炎患者,随机分成西医组和中西医组。西医组患者予以西药对症治疗,中西医组患者予在西药治疗同时结合中医辨证治疗。结果中西医组患者甲状腺肿块回缩时间、甲状腺素水平复常时间、血沉复常时间、疼痛缓解时间分别为(8.43±0.91)d、(10.78±0.78)d、(11.24±1.33)d、(7.45±1.10)d,均明显短于西医组的(12.76±1.28)d、(16.14±1.09)d、(18.37±1.88)d、(9.56±1.31)d,组间差异有统计学意义(P<0.05)。中西医组患者治疗总有效率96.00%明显高于西医组76.00%,不良反应发生率2.00%、复发率0.00%明显低于西医组12.00%和8.00%,组间差异有统计学意义(P<0.05)。结论中医辨证治疗亚急性甲状腺炎效果确切,有助于迅速缓解疼痛,促进肿块消退和实验室指标复常,安全有效,且可降低复发率,值得推广。

Objective To discuss and analyze the effect of treatment based on syndrome differentiation fbr subacute thy-roiditis. Methods 100 cases of patients with subacute thyroiditis treated from February 2013 to October 2015 were selected as the research object and randomly divided into two groups, the western medicine group were treated with routine western medicine, the Chinese medicine group were given treatment based on syndrome differentiation on the basis of the western medicine treatment. Results The thyroid mass rebound time, recovery time of thyroid hormone level, recovery time of erythrocyte sedimentation rate and pain relief time in the Chinese and western medicine group were obviously shorter than those in the western medicine group,[（8.43±0.91）d,（10.78±0.78）d,（11.24±1.33）d,（7.45±1.10）d vs （12.76±1.28）d, （16.14±1.09）d, （18.37±1.88）,（9.56±1.31）d）], the differences between groups were statistically significant after t-test, P〈0.05, the total treat- ment effective rate in the Chinese and western medicine group was obviously higher than that in the western medicine group, （96.00% vs 76.00%）, the incidence rate of side effect and recurrence rate in the Chinese and western medicine group was obviously lower than that in the western medicine group （2.00%, 0.00% vs 12.00%, 8.00%）, the differences between groups were statistically significant after X2-test P〈0.05. Conclusion The effect of treatment based on syndrome differentiation for subaeute thyroiditis is definite, which contributes to rapidly relieving pains and promoting the mass extinction and laboratory index normalization, and it is safe and effective and can reduce the recurrence rate, and it is worth promotion.