针药并用治疗甲状腺功能亢进性突眼症临床效应观察_夏勇.pdfVIP

上海针灸杂志 2009 年 12 月第 28 卷第 12 期 ·691· 文章编号:1005-0957(2009)12-0691-03 ·临床研究· 针药并用治疗甲状腺功能亢进性突眼症临床效应观察 1 2 1 1 1 夏勇 ,舒适 ,李艺 ,刘世敏 ,何金森 (1.上海中医药大学针灸推拿学院,上海 201203;2.第二军医大学中医系针灸推拿教研室,上海 200433) 【摘要】 目的 观察针药并用治疗甲亢性突眼症的临床效应,为甲亢性突眼症的治疗提供更为有效的选择。方法 将 52 例患者(计 104 只眼)随机分为针药组(27 例,54 只眼)和西药组(25 例,50 只眼),针药组采用针刺配合甲巯咪唑 10 mg/d 和左 甲状腺素钠片25 µg/d,西药组仅予甲巯咪唑10 mg/d和左甲状腺素钠片25 µg/d。通过比较两组患者突眼度的改善,观察针 刺加西药治疗甲亢性突眼症的临床效应。结果 针药组总有效率为96.3%,西药组为64.0%,针药组优于西药组(P＜0.01)。两 组间突眼度治疗前后减少差值比较,针药组突眼度减少(1.88±1.409)mm,明显大于西药组(0.72±0.757)mm(P＜0.01)。结论 针药并用可有效改善患者眼球突出度。 【关键词】 针刺;针药并用;甲状腺功能亢进症;突眼症 【中图分类号】 R246.1 【文献标志码】 A Observations on the Clinical Efficacy of Combined use of Acupuncture and Drugs in Treating Hyperthyroid Exophthalmos 1 2 1 1 1 XIA Yong , SHU Shi , LI Yi , LIU Shi-min , HE Jin-sen . 1.School of Acupuncture-moxibustion and Massotherapy, Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China; 2.Teaching and Research Section of Acupuncture Moxibustion, Department of Traditional Chinese Medicine, Second Military Medical University,Shanghai 200433,China [Abstract] Objective To investigate the clinical efficacy of combined use of acupuncture and drugs in treating hyperthyroid exophthalmos and provide a more effective treatment for hyperthyroid exophthalmos. Methods Fifty-two patients were randomly allocated to an acupuncture-drug group of 27 (54 eyes) cases and a western drug group of 25 (50 eyes) cases. The acupuncture-drug group received acupuncture plus methimazole 10 mg/d and levothyroxine sodium 25 g/d and the western drug group took methimazole 10 mg/d and levothyroxine sodium 25 g/d only. The clinical therapeutic effect of combined acupuncture and western drugs on hyperthyroid