加味四君子汤治疗甲状腺术后体虚患者的临床疗效观察

发布时间：2018-06-16 07:19

本文选题：加味四君子汤 + 甲状腺术后　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：观察加味四君子汤治疗甲状腺术后体虚患者的临床疗效,对比常规治疗与结合中药治疗的作用效果,评价中医药改善甲状腺术后不适症状的运用价值。方法：收集甲状腺手术后病人的相关资料,将符合标准的60例患者,按随机、对照的原则,分为观察组和对照组各30例。对照组采用常规治疗,观察组在常规治疗的基础上同时配合加味四君子汤加减,每日1剂,共服1个月。分别在治疗前、治疗后2周、治疗后1月记录中医临床症状评分。对所得数据资料作为变量进行分析研究,采用SPSS17.0统计软件方法,对对照组及观察组的相关数据进行比较,选出有意义的数据,得出研究结果,评估中医辨证用药对甲状腺术后患者的临床症状是否有改善作用。结果：中医症状疗效评价,治疗2周后,观察组病例显效0例,有效20例(66.67%),无效10例(33.33%),总有效率66.67%；对照组病例显效0例,有效11例(36.67%),无效19例(66.67%),总有效率36.67%。经统计学检验,两组总有效率比较有统计学差异(P0.05)。治疗1月后,观察组病例显效16例(53.33%),有效12例(40.00%),无效2例(6.67%),总有效率93.33%；对照组病例显效4例(13.33%),有效17例(56.67%),无效9例(30%),总有效率70.00%。经统计学检验,两组总有效率比较有统计学差异(P0.05)。结论：临床观察显示加味四君子汤治疗甲状腺术后体虚患者的临床不适症状有确切的疗效,能够缩短术后康复时间,从一定程度上提高了术后患者的生活质量。
[Abstract]:Objective: to observe the clinical effect of modified Sijunzi decoction in treating patients with body deficiency after thyroidectomy, compare the effect of routine treatment with traditional Chinese medicine, and evaluate the application value of traditional Chinese medicine in improving the symptoms of postoperative discomfort of thyroid. Methods: according to the principle of randomization and control, 60 patients with thyroid surgery were divided into observation group and control group. The control group was treated with routine therapy, while the observation group was treated with modified Sijunzi decoction for 1 month. The clinical symptom scores of TCM were recorded before treatment, 2 weeks after treatment and 1 month after treatment. Using SPSS 17.0 statistical software method, the data of the control group and the observation group were compared, the meaningful data were selected, and the results of the study were obtained. To evaluate whether traditional Chinese medicine can improve the clinical symptoms of patients after thyroid surgery. Results: after 2 weeks of treatment, there were 0 cases with remarkable effect in observation group, 20 cases with significant effect, 10 cases with ineffective 10 cases with 33. 3333 and 10 cases with total effective rate of 66.67%, while in control group, there were 0 cases with remarkable effect, 11 cases with effective effect with 36.67m and 19 cases with no effect, with total effective rate of 36.67%. By statistical test, the total effective rate of the two groups was statistically different (P 0.05). After one month of treatment, 16 cases in the observation group had remarkable effect, 12 cases had the effect of 40.00m, 2 cases had no effect, and the total effective rate was 93.333.The total effective rate was 93.33% in the control group, while in the control group, there were 4 cases with remarkable effect, 17 cases with the effect of 56.67m, 9 cases with no effect and 30 cases with the total effective rate of 70.003. By statistical test, the total effective rate of the two groups was statistically different (P 0.05). Conclusion: the clinical observation shows that the modified Sijunzi decoction has definite curative effect on the patients with body deficiency after thyroid surgery, it can shorten the time of postoperative rehabilitation and improve the quality of life of the patients after operation to a certain extent.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R269

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