体针加围刺法联合壮医药线点灸治疗单纯性甲状腺肿的临床疗效观察

Clinical Observation of the Combined Use of Acupuncture and Zhuang Medicine Thread Moxibustion in the Treatment of Simple Goiter

摘要: 目的：观察甲状腺结节的临床疗效。方法：入组60例符合诊断标准的患者随机分为2组，分别为治疗组与对照组，每组30例，疗程为3个月。治疗前后评估总体有效率、甲状腺结节最大径、中医证候评分、甲状腺功能等指标，并进行统计学分析。结果：治疗后，两组患者甲状腺结节最大径均小于治疗前，且观察组小于对照组，差异有统计学意义(P < 0.05)；治疗后，对照组疗效总有效率为13.33%，治疗组疗效总有效率为96.66%；治疗后，治疗组中医证候积分较治疗前低，差异有统计学意义(P < 0.05)；对照组中医证候积分较治疗前低，但差异无统计学意义(P > 0.05)；治疗前后，比较两组患者甲状腺功能实验室指标，游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)，差异均无统计学意义(P > 0.05)。结论：体针加围刺法联合壮医药线点灸疗法能够有效缩小单纯性甲状腺肿并改善临床症状。

Abstract: Objective: To observe the clinical efficacy of thyroid nodules. Methods: 60 patients who met the diagnostic criteria were randomly divided into two groups, namely the treatment group and the control group, with 30 cases in each group, and the treatment period was 3 months. The overall effectiveness rate, maximum diameter of thyroid nodules, TCM syndrome score, thyroid function and other indicators were evaluated before and after treatment, and statistical analysis was performed. Results: After treatment, the maximum diameter of thyroid nodules in both groups was smaller than that before treatment, and the observation group was smaller than the control group, with statistically significant difference (P < 0.05); After treatment, the total effective rate of the control group was 13.33%, and that of the treatment group was 96.66%; After treatment, the TCM syndrome score of the treatment group was lower than that before treatment, with statistically significant difference (P < 0.05); The TCM syndrome score of the control group was lower than that before treatment, but the difference was not statistically significant (P > 0.05); Before and after treatment, there was no statistically significant difference in the laboratory indicators of thyroid function between the two groups of patients, including free triiodothyroxine (FT3), free thyroxine (FT4), and thyroid-stimulating hormone (TSH) (P > 0.05). Conclusion: The combination of body acupuncture and surrounding puncture method combined with Zhuang medicine line point moxibustion therapy can effectively reduce simple goiter and improve clinical symptoms.