[1]李 冉,任继鹏,范会军,等.八珍汤在甲状腺结节细针穿刺术后的应用价值[J].陕西中医,2019,(6):777-780.
 LI Ran,REN Jipeng,FAN Huijun,et al.Application value of Bazhen decoction after thyroid nodule needle puncture[J].,2019,(6):777-780.
点击复制

八珍汤在甲状腺结节细针穿刺术后的应用价值
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年6期
页码:
777-780
栏目:
临床研究
出版日期:
2019-06-05

文章信息/Info

Title:
Application value of Bazhen decoction after thyroid nodule needle puncture
文章编号:
DOI:10.3969/j.issn.1000-7369.2019.06.027
作者:
李 冉1任继鹏2范会军1张 凯
1.新乡医学院第一附属医院超声科(新乡 453100);2.新乡医学院第一附属医院核磁共振科(新乡 453100)
Author(s):
LI RanREN JipengFAN Huijunet al.
Department of Ultrasound,First Affiliated Hospital of Xinxiang Medical College(Xinxiang 453100)
关键词:
超声引导穿刺术八珍汤甲状腺结节术后并发症免疫功能情绪状态
Keywords:
Key words Ultrasound guided fine needle aspirationBazhen decoctionThyroid nodulePostoperative complicationsImmune functionEmotional state〖HK〗〖HT〗
分类号:
R581
文献标志码:
A
摘要:
摘 要 目的:观察超声引导穿刺术联合八珍汤治疗甲状腺结节效果。方法:选取200例甲状腺结节患者,随机分为观察组和对照组,每组100例,对照组行超声引导穿刺术和常规治疗,观察组在对照组的基础上联合八珍汤进行治疗,观察两组患者在穿刺术后的愈后情况。考察两组患者的穿刺成功率、治疗前后的情绪状态、舒适度、甲状腺结节症状、术后并发症以及外周血免疫功能指标水平。结果:两组患者的穿刺成功率无明显差别,但在患者的情绪状态、舒适度、甲状腺结节症状以及术后并发症方面,观察组患者要明显好于对照组( P <0.05)。在外周血免疫功能指标方面,观察组患者的免疫因子水平要优于对照组患者( P <0.05)。结论:超声引导穿刺术联合八珍汤治疗对改善甲状腺结节诊断的愈后有着较好的效果,对于患者的免疫力有较好的改善。可以提高诊断手术后患者的康复配合,有助于对患者进行更精准的治疗。
Abstract:
Abstract Objective:To investigate the therapeutical effect of ultrasound guided fine needle aspiration combined with Bazhen in the improvement of healing after the diagnosis of thyroid nodule.Methods:200 patients with thyroid nodule were randomly divided into control group and observation group with 100 cases in each group.The patients in the control group were given ultrasound guided fine needle aspiration and routine nursing,while patients in the observation group were given Chinese herbs called Bazhen decoction.The recovery condition of these two groups were compared,including the success rate of puncture,the emotional state,the comfort level and ,thyroid nodule symptoms pre- and after puncture,postoperative complications and the level of peripheral blood immune function indicators.Results:After treatment,the success rate of puncture in the groups showed no significant difference.However,the emotional state,the comfort level,thyroid nodule symptoms and the postoperative complications of the observation group were better than those in the control group( P <0.05).Correspondingly,the immune factors including in the observation group were significantly higher than those in the control group( P <0.05).Conclusion:Ultrasound-guided fine needle aspiration combined with Bazhen prescription has good effects on improving the recovery of thyroid nodules after diagnosis and improving the immunity of patients.It can improve the rehabilitation cooperation of patients after diagnosis and surgery,and contribute to more accurate treatment of patients.

参考文献/References:

[1] 郭丽珍,吕 雄,黄艳丽,等.甲状腺结节的诊察手段及中西医治疗方法概述[J].湖北中医杂志 ,2018,40(9):59-64.
[2]王珍芳.甲状腺结节85例超声造影与病理结果对照分析[J].陕西医学杂志,2015,44(2):216-217.
[3] Zhang Y,Xu T,Gong H, et al .Application of high-resolution ultrasound,real-time elastography,and contrast-enhanced ultrasound in differentiating solid thyroid nodules[J].Medicine (Baltimore),2016,95(45):e5329.
[4] 陈 瑛,于明安,闫 娟.超声造影对不同大小甲状腺结节良恶性诊断价值[J].陕西医学杂志,2017,46(4):446-447.
[5] 施秉银,赵 嫒.甲状腺细针吸细胞学检查及临床应用评价[J].中华内分泌代谢杂志,2004,20(2):180.
[6] 国家中医药管理局.中医病证诊断疗效标准\[M\].南京:南京大学出版社,1994.
[7] 朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J].中国实用护理杂志, 2006,31(13):57-59.
[8] 黄桂玲,孟宪梅,王雅丽.中文版舒适量表用于膝关节置换术后病人舒适评价[J].护理学杂志,2013,28(18):30-31.
[9] 〖JP2〗Hossein G,Enrico P,Ralf P, et al .AACE /AME /ETA thyroid nodule guidelines[J].Endocr Pract,2010,16(1):1.〖ZK)〗
[10] 李 豫.超声引导下甲状腺结节细针穿刺术的护理干预观察[J].中国继续医学教育,2015,28 (7):239-240.
[11] 范广萍,王文萍.超声引导下甲状腺结节细针穿刺术的临床护理措施分析[J].中外女性健康研究,2017,21(4):10-11.
[12] 姚振发,梁润英.八珍汤临床应用和实验研究进展[J].国医论坛,2018,33(6):65-68.
[13] 柳 岩,董智勇,王晓琼,等.加味八珍汤治疗老年髋部骨折术后失血性贫血30例临床研究[J].江苏中医药,2015,47(3):36-37.
[14] 李荣慧,崔泽龙,杨志杰.复方八珍汤对大隐静脉曲张患者高位结扎剥脱术后气虚血瘀证的作用效果[J].中医药导报,2016,22(16):78-80.
[15] 韩丽丽.八珍汤联合 ET 治疗甲状腺结节的临床观察[J].光明中医,2018,33(9):1219-1221.
[16] 吕文超,孙 波,连丽新, 等.传统甲状腺切除术与小切口甲状腺切除术治疗 甲状腺结节临床对比分析[J].中国保健营养,2019,29(10):113.
[17] 杨国荣.对比传统甲状腺切除术与小切口甲状腺切除术对甲状腺结节的效果观察[J].黑龙江中医药,2018,47(6):51-52.
[18] 韦兴中,高晓洁,王克净,等.中西医结合围手术期治疗老年甲状腺疾病的作用[J].川北医学院学报,2013,28(3):269-272.
[19] 李 岩.白芍及其化学成分的药理研究进展[J].职业与健康,2015,31(15):2153-2156.
[20] 禚昌红,张沁园,张道伟,等.《伤寒论》 中白术运用撷英[J].西部中医药,2017,30(6) :44-46.

更新日期/Last Update: 2019-06-20