本文關(guān)鍵詞：健脾溫腎調(diào)癭方治療原發(fā)性甲減（脾腎陽(yáng)虛證）的臨床觀察　出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 健脾溫腎調(diào)癭 甲狀腺功能減退癥 脾腎陽(yáng)虛證 甲狀腺激素

【摘要】：目的:本課題總結(jié)導(dǎo)師樸春麗教授多年針對(duì)臨床甲減所常用中藥方劑的臨床經(jīng)驗(yàn),自擬健脾溫腎調(diào)癭方對(duì)上述人群進(jìn)行藥物干預(yù),尋求治療臨床甲減的有效途徑。方法:采用隨機(jī)對(duì)照法,按患者的就診順序隨機(jī)分組,隨機(jī)分為2組,其中治療組30例,對(duì)照組30例,并給予相應(yīng)的藥物。患者均來(lái)源于長(zhǎng)春中醫(yī)藥大學(xué)附屬醫(yī)院門(mén)診病人。所有患者均符合中西醫(yī)診斷標(biāo)準(zhǔn)及納入標(biāo)準(zhǔn)。結(jié)果:健脾溫腎調(diào)癭方聯(lián)合優(yōu)甲樂(lè)治療組與西藥對(duì)照組對(duì)比統(tǒng)計(jì)學(xué)有顯著性差異(P0.01),在改善指標(biāo)上與西藥對(duì)照組對(duì)比有統(tǒng)計(jì)學(xué)意義(P0.05)。在中醫(yī)整體療效上治療組總有效率為93.33%,西藥對(duì)照組總有效率為83.3%。經(jīng)統(tǒng)計(jì)學(xué)對(duì)比分析后顯示:健脾溫腎調(diào)癭方聯(lián)合優(yōu)甲樂(lè)治療組與西藥對(duì)照組組間對(duì)比均有顯著性差異(P0.01)。治療前后未發(fā)生明顯的不良事件。結(jié)論:健脾溫腎調(diào)癭方治療原發(fā)性甲減(脾腎陽(yáng)虛證)臨床療效確切,能夠顯著改善生化指標(biāo),并且明顯改善患者的中醫(yī)臨床癥狀,減少應(yīng)用西藥的副作用。臨床可推行此方法,安全可行性較好。
[Abstract]:Objective: To summarize the clinical experience of Professor Pu Chunli, which is commonly used in clinical hypothyroidism, and to invigorate the spleen, warming kidney and regulating gall formula to intervene the above populations, and seek effective ways to treat clinical hypothyroidism. Methods: randomly divided into 2 groups randomly and randomly divided into 2 groups, 30 in the treatment group and 30 in the control group, and the corresponding drugs were given. All the patients were from the outpatient of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine. All patients were in conformity with the standard of TCM and Western medicine. Results: there was a significant difference between Jianpi Wen Shen Tiao Ying Fang and you Jia Le treatment group compared with western medicine control group (P0.01), and there was a significant difference between the treatment group and the western medicine control group (P0.05). The total effective rate in the treatment group of Chinese medicine was 93.33%, and the total effective rate of the western medicine control group was 83.3%. After statistical analysis, the results showed that there were significant differences between the combination of Jianpi warming kidney gall gall side and the western medicine control group (P0.01). There were no obvious adverse events before and after the treatment. Conclusion: Jianpi warming kidney and regulating gall decoction is effective in treating primary hypothyroidism, spleen and kidney yang deficiency syndrome, which can significantly improve biochemical indexes, and significantly improve the clinical symptoms of Chinese medicine and reduce the side effects of Western medicine. This method can be carried out in clinical practice, and it is safe and feasible.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R259

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王巧凡;張永杰;邱曉堂;;加味真武湯治療陽(yáng)虛飲瘀型甲減性心臟病40例[J];陜西中醫(yī);2015年06期

2 謝曉蘭;趙泉霖;;趙泉霖運(yùn)用溫陽(yáng)健脾利水法治療甲減水腫經(jīng)驗(yàn)[J];云南中醫(yī)中藥雜志;2015年03期

3 劉明慧;張春芳;趙娜;祁永校;馬建;;益元濕陽(yáng)法治療橋本氏甲減60例臨床觀察[J];遼寧中醫(yī)雜志;2014年11期

4 胡春平;張藝;嚴(yán)軍;馮珍鳳;;固本消癭湯聯(lián)合優(yōu)甲樂(lè)治療橋本甲減40例臨床研究[J];江蘇中醫(yī)藥;2014年09期

5 褚曉秋;劉超;;甲狀腺功能減退癥患病因素思考[J];中國(guó)實(shí)用內(nèi)科雜志;2014年04期

6 馮曉;錢(qián)秋海;;錢(qián)秋海治療甲狀腺功能減退癥經(jīng)驗(yàn)擷菁[J];遼寧中醫(yī)雜志;2013年11期

7 王娟;張媛媛;;用中西醫(yī)結(jié)合療法治療甲亢治療后引起的甲減的療效觀察[J];求醫(yī)問(wèn)藥(下半月);2013年09期

8 劉鑫;李廣元;;甲狀腺功能減退癥的中西醫(yī)治療概況[J];中國(guó)醫(yī)藥指南;2013年19期

9 張?jiān)品?房輝;馬青松;郭詠莉;;溫補(bǔ)脾腎法對(duì)脾腎陽(yáng)虛型甲狀腺功能減退癥大鼠腎臟抗氧化能力的影響[J];四川中醫(yī);2013年02期

10 許兵;劉慧;金紅婷;方劍利;肖魯偉;童培建;;經(jīng)典骨質(zhì)疏松癥模型大鼠的腎虛證研究[J];中國(guó)骨傷;2012年09期

，

本文編號(hào)：1346826