腹针配合围刺治疗良性甲状腺结节  

Clinical efficacy of abdominal acupuncture combined with encircling needling in the treatment of benign thyroid nodules

作　　者：刘春雪 解相蕊 张童 李慧璟[1] 李芸欣 陈婉莹 李昊潼 刘明军[1] 项鑫 LIU Chunxue;XIE Xiangrui;ZHANG Tong;LI Huijing;LI Yunxin;CHEN Wanying;LI Haotong;LIU Mingjun;XIANG Xin(College of Acupuncture and Massage,Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学针灸推拿学院,长春130117

出　　处：《长春中医药大学学报》2022年第1期84-87,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省科技发展计划资助项目(20200403123SF);长春中医药大学2020年研究生培养创新示范项目(2020PY07)。

摘　　要：目的观察腹针配合围刺治疗良性甲状腺结节的临床疗效。方法按随机对照分组法,将72例良性甲状腺结节患者分为腹针组与中成药组,治疗期间共脱落7例,腹针组实际纳入33例,中成药组实际纳入32例,共治疗3个月。腹针组给予腹针配合围刺治疗,中成药组给予小金丸口服。观察治疗前后2组结节最大直径、中医证候积分、甲状腺激素等指标,评估临床疗效。结果2组治疗前后结节直径均明显减小(P<0.05),治疗后2组组间疗效比较差异不显著(P>0.05);2组治疗前后中医证候积分均明显减小(P<0.05),治疗后腹针组证候疗效优于中成药组(P<0.05);2组治疗前后甲状腺激素水平均无明显变化(P>0.05)。结论腹针配合围刺治疗良性甲状腺结节,可有效缓解患者症状,改善结节直径大小,临床疗效确切。Objective To observe the clinical efficacy of abdominal acupuncture combined with encircling needling in the treatment of benign thyroid nodules.Methods According to the randomized controlled grouping method,72 patients with benign thyroid nodules were divided into an abdominal acupuncture group and a Chinese patent medicine group.A total of 7 cases were dropped off during the treatment,with 33 cases actually included in the abdominal acupuncture group,and 32 cases in the Chinese patent medicine group,both for a 3-month treatment.The abdominal acupuncture group was given an abdominal acupuncture combined with encircling needling treatment,while the Chinese patent medicine group was given Xiaojin Pills orally.The maximum diameters of nodules,TCM syndrome scores,thyroid hormone levels and other indicators of the two groups were observed before and after treatment,and the clinical efficacy was evaluated.Results The diameters of nodules in the two groups were significantly reduced after treatment(P<0.05),but there was no significant dif ference in the curative effect between the two groups after treatment(P>0.05).The TCM syndrome scores of both groups were decreased significantly after treatment(P<0.05),and the abdominal acupuncture group was better than the Chinese patent medicine group(P<0.05).There was no significant change in thyroid hormone levels in the two groups before and after treatment(P>0.05).Conclusion Abdominal acupuncture combined with encircling needling can effectively relieve the symptoms of patients with benign thyroid nodules and improve the diameter of nodules,with a definite clinical effect.

关 键 词：腹针 围刺 甲状腺结节 临床观察 

分 类 号：R245.3[医药卫生—针灸推拿学]