上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (9): 1156-.doi: 10.3969/j.issn.1674-8115.2010.09.033

• 论著（临床研究） • 上一篇    下一篇

五十营针刺疗法配合穴位注射治疗甲状腺功能减退的疗效观察

袁 民1, 蒋 莹2, 管 樑3, 金亚苹2   

  1. 上海交通大学 医学院附属瑞金医院 |1.中医科, |2.超声诊断科, 3.核医学科, 上海 200025
  • 出版日期:2010-09-25 发布日期:2010-09-27
  • 通讯作者: 蒋 莹, 电子信箱: jiangying@yahoo.com.cn。
  • 作者简介:袁 民（1958—）, 女, 副主任医师；电子信箱: yuanmin397@yahoo.com.cn。

Therapeutic effects of Fifty Ying acupuncture combined with point injection in treatment of hypothyroidism

YUAN Min1, JIANG Ying2, GUAN Liang3, JIN Ya-ping3   

  1. 1.Department of Traditional Chinese Medicne, 2.Department of Ultrasound, 3.Department of Nuclear Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, |Shanghai 200025, China
  • Online:2010-09-25 Published:2010-09-27

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摘要：

目的 观察五十营针刺疗法配合核酪注射液穴位注射治疗甲状腺功能减退的临床疗效。方法 37例甲状腺功能减退患者按中医分型为脾肾阳虚型22例，阴阳两虚型15例；所有患者均采用五十营针刺疗法加核酪注射液穴位注射治疗。测定和比较治疗前后患者血清指标游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)和高灵敏促甲状腺激素(sTSH)水平，比较两型患者的治疗有效率。所有患者接受甲状腺上动脉彩色多普勒血流显像(CDFI)检查，观察治疗前后患者甲状腺内部血流分布及流速变化。结果 与治疗前比较，治疗后患者血清FT3、FT4水平显著升高（P<0.01），而血清sTSH水平显著降低（P<0.001）；脾肾阳虚型与阴阳两虚型患者的治疗有效率分别为90.9%和80.0%，两者比较差异无统计学意义（P＞0.05）。治疗后患者CDFI表现为心率明显加快，血流信号丰富且峰值流速明显升高。结论 五十营针刺疗法配合核酪注射液穴位注射治疗可明显改善甲状腺功能减退患者的甲状腺功能，可能与调整机体虚实、使阴阳达到平衡有关。

关键词: 五十营针刺, 穴位注射, 甲状腺功能减退

Abstract:

Objective To observe the therapeutic effects of Fifty Ying acupuncture with point injection of nucleotide and casein injection in treatment of hypothyroidism. Methods Thirty-seven patients with hypothyroidism were divided into asthenic splenonephro-yang group (n=22) and asthenia of both yin and yang group (n=15) according to traditional Chinese medicine classification method, and all the patients were treated with Fifty Ying acupuncture with point injection of nucleotide and casein injection. The thyroid functional parameters of serum free triiodothyronine (FT3), free thyroxine (FT4) and sensitive thyroid stimulating hormone (sTSH) were detected and compared, and the therapeutic effects between two groups were compared. All the patients underwent superior thyroid artery examinations by color Doppler flow imagining (CDFI), and the distribution of blood flow and flow velocity in thyroid were observed before and after treatment. Results Compared with those before treatment, serum FT3 and FT4 levels significantly increased after treatment（P<0.01）, while serum sTSH level significantly decreased （P<0.001）. The effective rates of treatment in asthenic splenonephro-yang group and asthenia of both yin and yang group were 90.9% and 80.0%, respectively, and there was no significant difference between two groups (P＞0.05). It was observed by CDFI that heart rates increased significantly, blood flow signal was intense and peak flow velocity significantly increased after treatment. Conclusion Fifty Ying acupuncture with point injection of nucleotide and casein injection may significantly improve the thyroid function of hypothyroidism, which may be associated with the regulation of excess and deficiency, and the balance between yin and yang.

Key words: Fifty Ying acupuncture, point injection, hypothyroidism