摘要
目的:比较针药结合与单纯西药治疗甲亢性突眼症的疗效差异和不良反应情况。方法:将52例患者随机分为针药组(27例)和西药组(25例)。针药组给予针刺结合口服西药甲巯咪唑和优甲乐治疗,针刺穴取睛明、承泣、丝竹空等;西药组仅予口服甲巯咪唑和优甲乐。比较两组患者治疗前后的客观眼症评分差值、不良反应和不良事件。结果:对改善客观眼症评分,针药组优于西药组(P<0.01)。治疗期间西药组共发生白细胞减少4例,皮疹3例,突眼加重3例;针药组未出现1例不良反应。针药组治疗期间,发生针刺后出血和血肿不良事件各8例。结论:针药结合用于甲亢性突眼症不仅可提高疗效,更可减少不良反应。
Objective To compare the therapeutic effect and side effect of the treatments on hyperthyroid exophthalmos with the combination of acupuncture and medication and with medication only. Methods Fifty-two cases were randomly divided into an acupuncture and medication group （27 cases） and a medication group （25 cases）. Acu- puncture in combination of oral taking of Thiamazote and Euthyrox were adopted for the acupuncture and medication group. And acupoints such as Jingming （BL 1）, Chengqi （ST 1） and Sizhukong （TE 23） etc. were selected. Western medication for oral taking was applied as the only treatment for themedication group. Objective eye syndrome marks, side effects and accidents were compared between two groups before and after treatment. Results The improvement of the objective marks of eye syndrome in the acupuncture and medication group was better than that in the medication group （P〈0. 01）. There were 4 cases with hypoleucocytosis, 3 cases with rash and 3 cases with ag- gravated symptom of exophthalmos in the medication group during the treatment, while no case with side effects was observed in the acupuncture and medication group. However, 8 cases were found with hemorrhage and 8 with hematoma in the acupuncture and medication group. Conclusion Treatment with the combination of acupuncture and medication may not only enhance the therapeutic effect, but a/so reduce the side effects.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第10期806-809,共4页
Chinese Acupuncture & Moxibustion
基金
国家科技部中斯(斯洛文尼亚)国际科技合作项目:2007.203号7-01
上海市重点学科建设项目:T0302
关键词
甲状腺功能亢进症
突眼
针刺疗法
针药并用
不良反应
Hyperthyroidism
Exophthalmos
Acupuncture Therapy
Acupuncture Medication Combined
Adverse Reaction
