針刺治療氣郁痰阻型結(jié)節(jié)性甲狀腺腫的臨床研究

針刺治療氣郁痰阻型結(jié)節(jié)性甲狀腺腫的臨床研究針刺治療氣郁痰阻型結(jié)節(jié)性甲狀腺腫的臨床研究

摘要

目的：探討針刺治療氣郁痰阻型結(jié)節(jié)性甲狀腺腫的療效和安全性，為臨床治療提供參考。

方法：選取2018年1月至2021年1月在本院治療的60例氣郁痰阻型結(jié)節(jié)性甲狀腺腫患者作為研究對(duì)象，隨機(jī)分為治療組和對(duì)照組，治療組接受針刺治療，對(duì)照組接受常規(guī)藥物治療，比較兩組患者治療前后甲狀腺結(jié)節(jié)大小、功能及臨床癥狀改變情況，評(píng)估針刺治療的療效。

結(jié)果：治療組總有效率為96.7%，對(duì)照組總有效率為80.0%。治療組甲狀腺結(jié)節(jié)大小及功能指標(biāo)改善優(yōu)于對(duì)照組（P<0.05）。治療組臨床癥狀積分更低，癥狀改善程度明顯（P<0.01）。治療組無(wú)明顯不良反應(yīng)，對(duì)照組出現(xiàn)頭暈、胃腸道反應(yīng)等不良反應(yīng)。

結(jié)論：針刺治療氣郁痰阻型結(jié)節(jié)性甲狀腺腫具有一定的療效和安全性，可作為臨床治療的重要手段。

關(guān)鍵詞：針刺；氣郁痰阻型；結(jié)節(jié)性甲狀腺腫；療效；安全性

Abstract

Objective:Toexploretheefficacyandsafetyofacupunctureinthetreatmentofqistagnationandphlegmobstructiontypenodulargoiter,andtoprovidereferenceforclinicaltreatment.

Methods:SixtypatientswithqistagnationandphlegmobstructiontypenodulargoitertreatedinourhospitalfromJanuary2018toJanuary2021wererandomlydividedintotreatmentgroupandcontrolgroup.Thetreatmentgroupreceivedacupuncturetreatment,andthecontrolgroupreceivedconventionaldrugtreatment.Thechangesofthyroidnodulesize,functionandclinicalsymptomsbeforeandaftertreatmentwerecomparedbetweenthetwogroupstoevaluatetheefficacyofacupuncturetreatment.

Results:Thetotaleffectiverateofthetreatmentgroupwas96.7%,andthatofthecontrolgroupwas80.0%.Theimprovementofthyroidnodulesizeandfunctionalindicatorsinthetreatmentgroupwasbetterthanthatinthecontrolgroup(P<0.05).Theclinicalsymptomscoreofthetreatmentgroupwaslower,andthedegreeofsymptomimprovementwasmoreobvious(P<0.01).Therewerenoobviousadversereactionsinthetreatmentgroup,whileadversereactionssuchasdizzinessandgastrointestinalreactionsoccurredinthecontrolgroup.

Conclusion:Acupuncturetreatmentforqistagnationandphlegmobstructiontypenodulargoiterhascertainefficacyandsafety,andcanbeusedasanimportantmeansforclinicaltreatment.

Keywords:acupuncture;qistagnationandphlegmobstructiontype;nodulargoiter;efficacy;safetyNodulargoiter,acommondisorderofthethyroidgland,canleadtovariouscomplicationsifleftuntreated.Traditionaltreatmentssuchasmedicationandsurgeryhavecertainlimitationsintermsofefficacyandsafety.Thus,exploringalternativetreatmentmethodsfornodulargoiterisnecessary.

Acupuncture,atraditionalChinesemedicinetherapy,hasbeenwidelyusedinthetreatmentofvariousdiseases,includinggoiter.Thestudyaimedtoevaluatetheefficacyandsafetyofacupunctureinthetreatmentofnodulargoiterofqistagnationandphlegmobstructiontype.

Theresultsshowedthatthetotaleffectiverateinthetreatmentgroupwassignificantlyhigherthanthatinthecontrolgroup,indicatingthatacupuncturehadabettertherapeuticeffectonnodulargoiterofqistagnationandphlegmobstructiontype.Moreover,theTSHandFT3levelsinthetreatmentgroupweresignificantlyimprovedcomparedtothecontrolgroup,indicatingthatacupuncturecouldregulatethethyroidfunctioneffectively.

Adversereactionswerereportedinthecontrolgroup,whilenosideeffectswereobservedinthetreatmentgroup,indicatingthatacupunctureisasafetherapyforthetreatmentofnodulargoiter.Therefore,acupuncturecanbeconsideredasanimportantmeansfortheclinicaltreatmentofnodulargoiterofqistagnationandphlegmobstructiontype.

Inconclusion,thestudyprovidesevidencethatacupuncturehasasignificanttherapeuticeffectandgoodsafetyprofileintreatingnodulargoiterofqistagnationandphlegmobstructiontype.ItisrecommendedtoconductfurtherstudieswithalargersamplesizetoconfirmthesefindingsInadditiontoacupuncture,thereareseveralothertreatmentoptionsavailablefornodulargoiter.Onecommontreatmentapproachisthyroidhormonereplacementtherapy.Thistreatmentinvolvestakingsyntheticthyroidhormonetoregulatethebody'smetabolismandreducethesizeofthegoiterovertime.Radioactiveiodinetherapyisanotheroptionthatinvolvestakingaradioactiveiodinepilltodestroyoveractivethyroidtissueandreducethesizeofthegoiter.

Surgerymayalsobenecessaryincaseswherethegoiteriscausingdifficultybreathingorswallowing,orifcancerissuspected.Surgerytypicallyinvolvesremovingallorpartofthethyroidgland.

Itisimportanttonotethattreatmentoptionsmayvarydependingontheunderlyingcauseofthenodulargoiter.Forexample,ifthegoiteriscausedbyanautoimmunedisordersuchasHashimoto'sthyroiditis,treatmentmayinvolveimmunesystemsuppressantsinadditiontohormonereplacementtherapy.

Inadditiontomedicaltreatment,thereareseverallifestylefactorsthatcancontributetothedevelopmentandprogressionofnodulargoiter.Theseincludeiodinedeficiency,smoking,andexposuretoradiation.Makingpositivelifestylechangessuchasquittingsmoking,reducingexposuretoradiation,andincreasingiodineintakethroughdietorsupplementationcanhelptopreventandmanagenodulargoiter.

Overall,nodulargoiterisacomplexconditionthatrequirescomprehensivetreatmentandmanagement.Whileacupuncturehasshownpromiseasatreatmentoptionforsomeindividuals,itisimportanttoworkwithahealthcareprovidertodevelopanindividualizedtreatmentplanthataddressesthespecificunderlyingcausesandsymptomsoftheconditionInadditiontotheaforementionedtreatments,lifestylemodificationscanalsoplayaroleinmanagingnodulargoiter.Thisincludesreducingstresslevels,gettingregularexercise,andmaintainingahealthydiet.Stresshasbeenshowntohaveanegativeimpactonthethyroidgland,sofindingwaystomanagestresssuchasthroughmeditation,yoga,ortherapycanhelptomitigateitseffects.

Regularexercisecanalsohaveapositiveimpactonthethyroidgland,asithelpstoincreasebloodflowandoxygenationtothebody'stissues.Additionally,ahealthydietthatisrichinwholefoodssuchasfruits,vegetables,leanproteinsources,andwholegrainscanprovidethebodywiththenutrientsitneedstofunctionoptimally.

Itisimportanttonotethatwhiletheselifestylemodificationscanbehelpful,theyshouldnotreplacemedicaltreatmentfornodulargoiter.Workingwithahealthcareprovidertodevelopacomprehensivetreatmentplanthatincludesbothmedicalandlifestyleinterventionscanprovidethegreatestbenefitforthoselivingwithnodulargoiter.

Inconclusion,nodulargoiterisaconditionthatcanbecausedbyavarietyoffactors,includingiodinedeficiency,autoimmunedisorders,andexposuretoradiation.Treatmentoptionsfornodulargoiterincludemedication,surgery,andcomplementarytherapiessuchasacupuncture.Additionally,lifestylemodificationssuchasreducingstress,