外用紫金锭加四黄水蜜治疗亚急性甲状腺炎临床疗效回顾性分析  

A Retrospective Analysis of External Application of Zijinding Combined with Sihuang Shuimi for Subacute Thyroiditis

作　　者：黄少芳[1] 杨俏雯[1] 赵玲[1] 黄皓月[1] 邓惠民[1] Huang Shaofang;YANG Qiaowen;ZHAO Ling;HUANG Haoyue;DENG Huimin

机构地区：[1]广东省中医院,广东广州510120

出　　处：《新中医》2018年第9期65-67,共3页New Chinese Medicine

摘　　要：目的:观察紫金锭加四黄水蜜在亚急性甲状腺炎疼痛方面的临床疗效。方法:回顾性分析亚急性甲状腺炎伴随甲状腺疼痛的病人10 3例,其中观察组52例,对照组51例。对照组单纯西药口服,观察组在对照组的基础上用紫金锭加四黄水蜜外敷。观察2组临床疗效和甲状腺疼痛改善情况,治疗前后甲功、血沉(ESR)水平。结果:观察组总有效率为98.0 8%,对照组总有效率为90.20%,2组比较,差异有统计学意义(P<0.05)。观察组疼痛完全改善率为96.15%,对照组疼痛完全改善率为7 2.55%,2组比较,差异有统计学意义(P<0.01)。观察组甲状腺疼痛改善时间比对照组缩短,2组比较,差异有统计学意义(P<0.01)。治疗后,2组甲功及ESR均较治疗前有改善,差异均有统计学意义(P<0.05)。治疗后,与对照组比较,观察组ESR水平较低,差异有统计学意义(P<0.05)。结论:外用紫金锭加四黄水蜜对改善亚急性甲状腺炎疼痛有较好的临床疗效,可在临床推广。Objective： To observe the clinical effect of Zijinding combined with Sihuang Shuimi for subacute thyroiditis pain.Methods：Analyzed a total of 103 patients with subacute thyroiditis accompanied by thyroid pain retrospectively,including 52 cases in the observation group and 51 cases in the control group. The control group was given western medicine alone, while the observation group was additionally treated with Zijinding combined with Sihuang Shuimi. Observed the clinical effect,improvements of the thyroid pain and the levels of thyroid function and erythrocyte sedimentation rate（ESR） in the two groups before and after treatment. Results：The total effective rate was 98.08% in the observation group and 90.20% in the control group,difference being significant（P〈0.05）.The complete improvement rate of pain was 96.15% in the observation group and 72.55% in the control group, difference being significant（P〈0.01）. The improvement time of thyroid pain in the observation group was shorter than that in the control group,difference being significant（P〈0.01）. After treatment,the thyroid function and ESR in the two groups were improved when compared with those before treatment,difference being significant（P〈0.05）. After treatment,the ESR level in the observation group was lower when compared with that in the control group, difference being significant（P〈0.05）. Conclusion： The external application of Zijinding combined with Sihuang Shuimi has a good clinical effect in improving the subacute thyroiditis pain,which can be promoted clinically.

关 键 词：亚急性甲状腺炎 紫金锭 四黄水蜜 外敷 血沉(ESR) 甲状腺功能 

分 类 号：R581.4[医药卫生—内分泌]