甲状腺腺叶切除术联合百夏散结汤治疗甲状腺结节的临床效果

Clinical Effect of Thyroidectomy Combined with Baixia Sanjie Decoction in the Treatment of Thyroid Nodules

目的:探讨甲状腺结节患者采用甲状腺腺叶切除术与百夏散结汤联合治疗的临床效果。方法:选择2015年2月至2017年2月河南省辉县市第四人民医院收治的甲状腺结节患者110例,使用随机数表将所有患者分为2组,各55例。对照组采用甲状腺腺叶切除术治疗,观察组在对照组基础上联合百夏散结汤治疗,比较两组患者甲状腺激素水平、术后主观情志变化及复发情况。结果:治疗后两组TT_3、TT_4水平相比,差异无统计学意义(P>0.05),观察组TPO水平低于对照组,TSH高于对照组,差异有统计学意义(P<0.05);观察组患者术后烦躁、易怒、激动、失眠等负面情绪发生例数及复发率均显著低于对照组,差异有统计学意义(P<0.05)。结论:对甲状腺结节患者采用甲状腺腺叶切除术与百夏散结汤联合治疗能有效改善其甲状腺水平,减少负面情绪的发生,同时可降低术后复发率,具有显著临床应用效果。

Objective:To investigate the clinical effect of combined thyroidectomy and Baixia Sanjie decoction in the treatment of thyroid nodules.Methods:110 patients with thyroid nodules from February 2015 to February 2017 were randomly divided into two groups,with 55 patients in each group.The patients in the control group were treated with thyroidectomy,and the patients in the observation group were treated with Baixia Sanjie decoction on the basis of the control group.The levels of thyroid hormones,the changes of subjective feelings and the recurrence of the patients in the two groups were compared.Results:After treatment,there was no significant difference in TT3 and TT4 levels between the two groups(P>0.05).The levels of TPO in the observation group were significantly lower than those in the control group(P<0.05),and the incidence and recurrence rate of negative emotions such as irritability,agitation and insomnia in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:The combined treatment of thyroidectomy and Baixia Sanjie decoction can effectively improve the thyroid level,reduce the occurrence of negative emotion,and reduce the recurrence rate after operation.