益气养阴汤治疗分化型甲状腺癌术后气阴两虚证40例  

Forty Cases of Qi-Boosting and Yin-Nourishing Decoction in Treating Deficiency of Qi and Yin After Operation of Differentiated Thyroid Carcinoma

作　　者：武百强 WU Bai-qiang(Zhengzhou Seventh People's Hospital,Zhengzhou,Henan,China ,450000)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《河南中医》2019年第5期731-734,共4页Henan Traditional Chinese Medicine

摘　　要：目的:观察益气养阴汤对分化型甲状腺癌术后气阴两虚证患者的影响。方法:选择2016年9月至2018年9月在本院行甲状腺癌根治术的分化型甲状腺癌患者82例,辨证均为气阴两虚证,随机分为观察组42例和对照组40例。对照组给予西医常规治疗,观察组在对照组治疗的基础上给予益气养阴汤治疗。结果:观察组有效率85. 7%,对照组有效率62. 5%,观察组优于对照组,差异有统计学意义(P <0. 05);观察组治疗后卡氏评分高于对照组,差异有统计学意义(P <0. 05);观察组治疗后白细胞计数、血红蛋白及血小板计数水平明显高于对照组,差异有统计学意义(P <0. 05);观察组治疗后血清游离三碘甲状腺原氨酸、游离甲状腺素、促甲状腺激素水平明显优于对照组,差异有统计学意义(P <0. 05);两组治疗后血清甲状腺球蛋白和降钙素水平均优于治疗前,但两组间比较,差异无统计学意义(P>0. 05);两组不良反应发生率比较,差异无统计学意义(P>0. 05)。结论:益气养阴汤能明显改善甲状腺癌术后气阴两虚证患者症状及生存质量。Objective: To observe the influence of Qi-Boosting and Yin-Nourishing Decoction on patients with deficiency of qi and yin after operation of differentiated thyroid carcinoma. Methods: A total of 82 patients with differentiated thyroid cancer with qi-yin deficiency who underwent radical thyroidectomy in our hospital from September 2016 to September 2018 were randomly divided into the observation group with 42 cases and the control group with 40 cases. The ones in the control group were treated with routine Western medicine,while the ones in the observation group were treated with Qi-Boosting and Yin-Nourishing Decoction on the basis of the control group. Results: The effective rate of the observation group was 85. 7%,and that of the control group was62. 5%. The observation group was superior to the control group,and the difference was statistically significant( P < 0. 05);After the treatment,the Karl’s score of the observation group was significantly higher than that of the control group,and the difference was statistically significant( P < 0. 05). The leucocyte count,hemoglobin and platelet count of the observation group after the treatment were significantly higher than those of the control group,and all the differences were statistically significant( P <0. 05). After the treatment,the levels of serum free triiodothyronine,free thyroxine and thyrotropin in the observation group were significantly better than those in the control group,and all the differences were statistically significant( P < 0. 05). The levels of serum thyroglobulin and calcitonin in the two groups were better than those before the treatment,but there was no significant difference between the two groups( P > 0. 05). There was no significant difference in the incidence of adverse reactions between the two groups( P < 0. 05). Conclusion: Qi-Boosting and Yin-Nourishing Decoction can significantly improve the symptoms and quality of life of patients with deficiency of both qi and yin after operation of differentiated thyroid carcinoma.

关 键 词：分化型甲状腺癌术后 气阴两虚证 益气养阴汤 

分 类 号：R273[医药卫生—中西医结合]