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目的:观察中西医结合分期论治亚急性甲状腺炎(subacute thyroid itis,SAT)急性期的疗效。方法:采用中西医结合的方法,根据SAT不同病程临床表现不同的特点,选择120例进行分期论治并进行疗效观察。同时选择90例作为对照组采用单纯西医方法进行治疗。结果:120例SAT患者,治愈110例占91.7%,好转8例占6.7%,2月后复发2例占1.7%;对照组90例,治愈81例占90.0%,好转7例占7.8%。2月后复发29例占32.2%。经统计学分析,两组间疗效无显著性意义(P>0.05);复发率则有极显著性意义(P<0.001)。结论:中西医结合治疗SAT具有疗效好、副反应小、复发率低等优点。
Objective: To observe the effect of combining traditional Chinese and western medicine on acute stage of subacute thyroid itis (SAT). Methods: According to the different characteristics of different clinical manifestations of SAT according to the method of integrated traditional Chinese and western medicine, 120 cases were treated by staging and the curative effect was observed. At the same time, 90 cases were selected as the control group to be treated with western medicine alone. Results: Among the 120 patients with SAT, 91.7% were cured, 8.7% were improved in 8 cases, 1.7% were improved in 2 cases. 90 cases were cured in control group, 90% were cured in 81 cases and 7.8% were improved in 7 cases. 29 cases recurred 32.2% after 2 months. The statistical analysis showed no significant difference between the two groups (P> 0.05). The recurrence rate was highly significant (P <0.001). Conclusion: The combination of TCM and Western medicine has the advantages of good curative effect, small side effects and low recurrence rate.