本文選題：加味四君子湯 + 甲狀腺術(shù)后　； 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：觀察加味四君子湯治療甲狀腺術(shù)后體虛患者的臨床療效,對(duì)比常規(guī)治療與結(jié)合中藥治療的作用效果,評(píng)價(jià)中醫(yī)藥改善甲狀腺術(shù)后不適癥狀的運(yùn)用價(jià)值。方法：收集甲狀腺手術(shù)后病人的相關(guān)資料,將符合標(biāo)準(zhǔn)的60例患者,按隨機(jī)、對(duì)照的原則,分為觀察組和對(duì)照組各30例。對(duì)照組采用常規(guī)治療,觀察組在常規(guī)治療的基礎(chǔ)上同時(shí)配合加味四君子湯加減,每日1劑,共服1個(gè)月。分別在治療前、治療后2周、治療后1月記錄中醫(yī)臨床癥狀評(píng)分。對(duì)所得數(shù)據(jù)資料作為變量進(jìn)行分析研究,采用SPSS17.0統(tǒng)計(jì)軟件方法,對(duì)對(duì)照組及觀察組的相關(guān)數(shù)據(jù)進(jìn)行比較,選出有意義的數(shù)據(jù),得出研究結(jié)果,評(píng)估中醫(yī)辨證用藥對(duì)甲狀腺術(shù)后患者的臨床癥狀是否有改善作用。結(jié)果：中醫(yī)癥狀療效評(píng)價(jià),治療2周后,觀察組病例顯效0例,有效20例(66.67%),無(wú)效10例(33.33%),總有效率66.67%；對(duì)照組病例顯效0例,有效11例(36.67%),無(wú)效19例(66.67%),總有效率36.67%。經(jīng)統(tǒng)計(jì)學(xué)檢驗(yàn),兩組總有效率比較有統(tǒng)計(jì)學(xué)差異(P0.05)。治療1月后,觀察組病例顯效16例(53.33%),有效12例(40.00%),無(wú)效2例(6.67%),總有效率93.33%；對(duì)照組病例顯效4例(13.33%),有效17例(56.67%),無(wú)效9例(30%),總有效率70.00%。經(jīng)統(tǒng)計(jì)學(xué)檢驗(yàn),兩組總有效率比較有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論：臨床觀察顯示加味四君子湯治療甲狀腺術(shù)后體虛患者的臨床不適癥狀有確切的療效,能夠縮短術(shù)后康復(fù)時(shí)間,從一定程度上提高了術(shù)后患者的生活質(zhì)量。
[Abstract]:Objective: to observe the clinical effect of modified Sijunzi decoction in treating patients with body deficiency after thyroidectomy, compare the effect of routine treatment with traditional Chinese medicine, and evaluate the application value of traditional Chinese medicine in improving the symptoms of postoperative discomfort of thyroid. Methods: according to the principle of randomization and control, 60 patients with thyroid surgery were divided into observation group and control group. The control group was treated with routine therapy, while the observation group was treated with modified Sijunzi decoction for 1 month. The clinical symptom scores of TCM were recorded before treatment, 2 weeks after treatment and 1 month after treatment. Using SPSS 17.0 statistical software method, the data of the control group and the observation group were compared, the meaningful data were selected, and the results of the study were obtained. To evaluate whether traditional Chinese medicine can improve the clinical symptoms of patients after thyroid surgery. Results: after 2 weeks of treatment, there were 0 cases with remarkable effect in observation group, 20 cases with significant effect, 10 cases with ineffective 10 cases with 33. 3333 and 10 cases with total effective rate of 66.67%, while in control group, there were 0 cases with remarkable effect, 11 cases with effective effect with 36.67m and 19 cases with no effect, with total effective rate of 36.67%. By statistical test, the total effective rate of the two groups was statistically different (P 0.05). After one month of treatment, 16 cases in the observation group had remarkable effect, 12 cases had the effect of 40.00m, 2 cases had no effect, and the total effective rate was 93.333.The total effective rate was 93.33% in the control group, while in the control group, there were 4 cases with remarkable effect, 17 cases with the effect of 56.67m, 9 cases with no effect and 30 cases with the total effective rate of 70.003. By statistical test, the total effective rate of the two groups was statistically different (P 0.05). Conclusion: the clinical observation shows that the modified Sijunzi decoction has definite curative effect on the patients with body deficiency after thyroid surgery, it can shorten the time of postoperative rehabilitation and improve the quality of life of the patients after operation to a certain extent.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R269

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