散瘿方治疗甲状腺结节的临床疗效

Effect of Sanying prescription in the treatment of thyroid nodules

目的观察散瘿方治疗甲状腺结节的临床疗效。方法选取我院2012年10月至2014年2月收治的70例甲状腺结节患者为研究对象,随机分为对照组与治疗组,每组35例。对照组给予左甲状腺素片,治疗组给予散瘿方治疗。比较两组治疗前、后的中医证候积分、临床疗效、甲状腺结节直径及甲状腺重量等。结果治疗后,两组中医证候积分均降低,且治疗组低于对照组(P<0.05);治疗组的治疗总有效率为88.57%,高于对照组的68.57%,差异具有统计学意义(P<0.05);治疗后,两组患者结节直径均减小,且治疗组小于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者的甲状腺重量比较,无显著差异(P>0.05)。结论散瘿方在甲状腺结节的治疗中有显著效果,值得临床推广。

Objective To observe the effect of Sanying prescription in the treatment of thyroid nodules. Methods Atotal of 70 patients with thyroid nodules admitted in our hospital from October 2012 to February 2014 were randomlydivided into control group and treatment group, with 35 cases in each group. The control group was given levothyroxinetablet, and the treatment group was given Sanying prescription. The TCM syndrome scores, clinical treatment effects,thyroid nodule diameter and thyroid weight before and after treatment were compared between the two groups. ResultsAfter treatment, the TCM syndrome scores of the two groups decreased, and that of the treatment group was lower thanthe control group（P〈0.05）; the total effective rate of treatment in the treatment group was 88.57%, which was higherthan 68.57% of the control group（P〈0.05）; after treatment, the diameter of nodules reduced in both groups, and that inthe treatment group was smaller than the control group（P〈0.05）; after treatment, the thyroid weight was no significantdifference between the two groups （P〉0.05）. Conclusion The Sanying prescription on thyroid nodules has a significanteffect and it is worthy of promotion in clinic.