清肝泻火法治疗甲状腺功能亢进症的临床研究.pdf

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1、·1684·辽宁中医杂志2014年第41卷第8期DOI∶10．13192/j．issn．1000-1719．2014．08．054清肝泻火法治疗甲状腺功能亢进症的临床研究12郑仲华，曾庆明(1．郑州市中医院糖尿病科，河南郑州450007;2．桐柏县卫生学校，河南桐柏县474750)摘要:目的:观察清肝泻火法治疗肝火旺盛型甲状腺功能亢进症的临床疗效。方法:将甲亢患者60例采用随机数字表法随机分为治疗组和对照组各30例。两组病例均采用常规西医治疗，口服他巴唑片，治疗组在常规治疗基础上加服中药，30d为1个疗程，治疗3个疗

2、程。结果:治疗组总有效率93.33%，对照组总有效率83.33%，两组对比，差别有统计学意义(P＜0.05);两组均可调节甲状腺激素水平，与治疗前相比，差别有统计学意义(P＜0.01)，治疗后两组对比，差别有统计学意义(P＜0.05或P＜0.01);治疗组在改善中医临床症状，减少副反应方面，疗效优于对照组，差别有统计学意义(P＜0.05)。结论:清肝泻火法能够调节甲状腺素水平、改善中医症状和体征、减少不良反应，比单纯西药治疗甲亢疗效显著。关键词:甲亢;辨证;肝火旺盛;清肝泻火中图分类号:Ｒ581．1文献标志码:B文章

3、编号:1000-1719(2014)08-1684-03ClinicalObservationonLiver－clearingandFire－purgingTherapyofHyperthyroidism12ZHENGZhonghua，ZENGQingming(1．ZhengzhouHospitalofTCM，Zhengzhou450007，He'nan，China;2．TongbaiCountryMedicalSchool，Tongbai474750，He'nan，China)Abstract:Objective:

4、Toobservetheclinicalefficacyofliver－clearingandfire－purgingtherapyofhyperthyroidism．Meth-ods:60patientswithhyperthyroidismusingrandomnumbertableswererandomlydividedintotreatmentandcontrolgroupswith30patientsineach．BothgroupsweretreatedwithconventionalWesternmed

5、icine，oraladministrationofmethimazoletablets．ThetreatmentgroupaddedtraditionalChinesemedicinetreatment．30dayswasacourseoftreatment，andthetreatmentlastedfor3courses．Ｒesults:Treatmentgroup'stotaleffectiverate93．33%andthecontrolgroup'swas83．33%．Therewasstatistical

6、differ-encebetweentwogroups(P＜0．05)．Twogroupsbothcanregulatethethyroidhormonelevelandtherewasstatisticaldifferenceaftertreatmentintwogroups(P＜0．01)．Aftertreatment，thetwogroupshadstatisticaldifference(P＜0．05orP＜0．01)．Treatmentgroupwassuperiortocontrolgroupinimpr

7、ovingTCMclinicalsymptomsaswellasreducingsideeffectsandthediffer-encehadstatisticsmeaning(P＜0．05)．Conclusion:Liver－clearingandfire－purgingtherapycanregulatethethyroidhormonelevels，improvethesymptomsandsignsoftraditionalChinesemedicineandreduceadversereactionsand

8、itissuperiortoWesternmedicinetreatmentofhyperthyroidism．Keywords:hyperthyroidism;syndromedifferentiation;liver－fireexcess;clearingliverandpurgingfire甲状腺功能亢进症(hyperthyroidism