穴位贴敷联合针刺治疗甲状腺结节咽异感症的疗效观察OA
Clinical efficacy of acupoint application combined with acupuncture for globus sensation associated with thyroid nodules
目的 观察消瘿散结方穴位贴敷联合颈前区围刺治疗甲状腺结节咽异感症的临床疗效.方法 将80 例甲状腺结节伴咽异感症患者,随机分为对照组和联合组,每组40 例.对照组采用小金片口服治疗,联合组在对照组的基础上加用颈前区围刺和消瘿散结方穴位贴敷.观察两组治疗前后咽异感症视觉模拟量表(visual analog scale,VAS)评分、中医证候积分、甲状腺上动脉收缩期峰值流速(peak systolic velocity,PSV)、最大甲状腺结节直径、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分、格拉斯哥-爱丁堡咽喉量表(Glasgow-Edinburgh throat scale,GETS)评分变化,并记录治疗期间不良反应的发生情况.结果 治疗后,联合组总有效率为 85.0%,显著高于对照组的 55.0%(P＜0.05).治疗后,两组咽异感症 VAS 评分、中医证候积分、甲状腺上动脉 PSV、最大甲状腺结节直径、SAS 和 SDS 评分、GETS评分均降低(P＜0.05),且观察组低于对照组(P＜0.05).两组不良反应发生率比较,差异无统计学意义(P＞0.05).结论 在药物治疗的基础上,消瘿散结方穴位贴敷联合颈前区围刺疗法治疗甲状腺结节咽异感症疗效效果显著且安全性良好.
Objective To observe the clinical efficacy of acupoint application with Xiao Ying San Jie formula combined with anterior cervical surrounding acupuncture in the treatment of globus sensation associated with thyroid nodules.Method A total of 80 patients with thyroid nodules accompanied by globus sensation were randomly assigned to a control group and a combination group,with 40 patients in each group.The control group received oral Xiao Jin tablets,while the combination group received anterior cervical surrounding acupuncture and acupoint application with Xiao Ying San Jie formula in addition to the treatment given to the control group.Changes before and after treatment were observed in visual analog scale(VAS)scores for globus sensation,traditional Chinese medicine(TCM)syndrome scores,peak systolic velocity(PSV)of the superior thyroid artery,maximum thyroid nodule diameter,self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,and Glasgow-Edinburgh throat scale(GETS)scores.Adverse events during treatment were also recorded.Result After treatment,the overall response rate in the combination group was 85.0%,which was significantly higher than the 55.0%observed in the control group(P＜0.05).After treatment,VAS scores for globus sensation,TCM syndrome scores,PSV of the superior thyroid artery,maximum thyroid nodule diameter,SAS scores,SDS scores,and GETS scores all decreased significantly in both groups compared with baseline(P＜0.05),and all of these indicators were lower in the combination group than in the control group(P＜0.05).No significant difference was found in the incidence of adverse events between the two groups(P＞0.05).Conclusion On the basis of medication treatment,Acupoint application with Xiao Ying San Jie formula combined with anterior cervical surrounding acupuncture is effective and safe for the treatment of globus sensation associated with thyroid nodules.
胡燕;谢培凤;周晖;胡浩;王宝君;王颖;王晓磊;高永洋
北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078北京中医药大学东方医院,北京 100078
医药卫生
穴位贴敷法针刺疗法甲状腺结节咽异感症围刺
Acupoint application therapyAcupuncture therapyThyroid noduleGlobus sensationSurrounding acupuncture
《上海针灸杂志》 2026 (9)
980-984,5
中央高校基本科研业务专项资金-北京中医药大学青年教师项目(2017-JYB-JS-095)
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