肩井穴“扎跳”针刺联合常规针刺治疗良性甲状腺结节的临床研究

Clinical Study of‘Zhatiao’Needling GB21 Combined with Routine Acupuncture in Treatment of Benign Thyroid Nodules

目的:探讨肩井穴“扎跳”针刺联合常规针刺治疗良性甲状腺结节的疗效。方法:选择2020年6月-2022年6月本院收治的96例良性甲状腺结节患者,随机数字表法将患者分为两组,每组各48例。对照组采用常规针刺治疗12周,观察组在对照组基础上增加肩井穴“扎跳”针刺治疗12周。比较两组疗效、中医症候积分、甲状腺结节体积、最大直径和血流信号,甲状腺激素以及不良反应。结果:观察组治疗总有效率高于对照组(P<0.05)。两组治疗后颈部结节、喉间梗阻感、情志抑郁、善太息、颌下淋巴结肿大、胁肋疼痛、头晕目眩积分、甲状腺结节体积、最大直径与血流信号分级1级比例均较治疗前降低,差异具有统计学意义(P<0.01),且观察组治疗后低于对照组,差异具有统计学意义(P<0.05)。两组治疗前、后TSH、FT 3、FT 4水平和不良反应比较差异无统计学意义(P>0.05)。结论:肩井穴“扎跳”针刺联合常规针刺可提升治疗效果,缩小甲状腺结节体积,促使结节消退,改善良性甲状腺结节患者临床症状。

Objective:To explore the therapeutic effect of‘Zhatiao’needling Jianjing(GB21)combined with routine acupuncture in treatment of benign thyroid nodules.Methods:96 patients with benign thyroid nodules were randomly divided into the control group and the observation group,with 48 cases in each group.The control group was treated with routine acupuncture for 12 weeks;on which basis,the observation group was also treated with‘Zhatiao’needling GB21 for 12 weeks.The curative effect,TCM symptom score,thyroid nodule volume,maximum diameter and blood flow signal,thyroid hormone and adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).The neck nodule,the scores of laryngeal obstruction,emotional depression,deep sigh,swollen submaxillary lymph nodes,hypochondriac pain and dizziness,thyroid nodule volume,maximum diameter,blood flow signal grade 1 ratio were decreased after the treatment compared with those before the treatment in the two groups after the treatment(P<0.01),all the above indexes were lower in the observation group than those in the control group after the treatment(P<0.05).There were no statistical differences in the levels of TSH,FT 3,FT 4 and adverse reactions between the two groups before and after the treatment(P>0.05).Conclusion:‘Zhatiao’needling GB21 combined with routine acupuncture can improve the therapeutic effect,reduce the volume of thyroid nodules,promote the regression of nodules,and improve the clinical symptoms of the patients with benign thyroid nodules.