隔附子饼灸对桥本氏甲状腺炎血清特异抗体与甲状腺功能的相关性分析  

Analysis of the Correlation between Serum Specific Antibodies and Thyroid Function in Aconite Cake Moxibustion-treated Hashimoto's Thyroiditis

作　　者：张育瑛[1] 夏鸣喆[1] 李艺[1] 刘世敏[1] 具紫勇[1] 夏勇[1] 何金森[1] 

机构地区：[1]上海中医药大学针灸推拿学院,上海201203

出　　处：《上海针灸杂志》2013年第1期25-27,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市科研计划项目资助课题(08DZ1972802)

摘　　要：目的观察隔附子饼灸对桥本氏甲状腺炎患者血清特异抗体与甲状腺功能的影响。方法将100例桥本氏甲状腺炎患者随机分为治疗组和对照组,每组50例。治疗组采用隔附子饼灸配合药物治疗,对照组采用单纯药物治疗。比较两组临床疗效。结果治疗组治疗后TPOAb、TGAb有效率分别为74.0%和90.0%,对照组分别为12.0%和28.0%,两组比较差异均具有统计学意义(P<0.05)。两组治疗后甲状腺功能分级比较,差异具有统计学意义(P<0.05)。治疗组治疗后各项中医证候计分与同组治疗前比较,差异均具有统计学意义(P<0.01)。结论应用艾灸与口服左甲状腺素钠片结合对桥本甲状腺炎患者血清特异抗体及临床症状有显著的调节作用。Objective To investigate the effect of aconite cake moxibustion on serum specific antibodies and thyroid function in Hashimoto＇s thyroiditis. Methods One hundred Hashimoto＇s thyroiditis were randomly allocated to treatment and control groups, 50 cases each. The treatment group received aconite cake moxibustion plus medication and control group, medication alone. The post-treatment effects were compared between the two groups. Results The efficacy rates in TPOAb and TGAb were 74.0% and 90.0%, respectively, in the treatment group and 12.0% and 28.0%, respectively, in the control group; there were statistically significant differences between the two groups （P〈0.05）. There were statistically significant pre-/post-treatment differences in various traditional Chinese medicine syndrome scores in the treatment group （P〈0.01）. Conclusion Combined use ofmoxibustion and oral Euthyrox has a marked regulating effect on serum specific antibodies and clinical symptoms in Hashimoto＇s thyroiditis patients.

关 键 词：针灸疗法 隔物灸 甲状腺炎 隔物灸 针药并用 

分 类 号：R246.1[医药卫生—针灸推拿学]