肺脾同治治疗甲状腺结节100例临床观察

目的：观察肺脾同治治疗甲状腺结节的疗效。方法：将依据诊断标准诊断为甲状腺结节100例患者随机分为两组，进行临床观察。观察组50例，给予自拟养肺阴、健脾气、化痰散结中药治疗；对照组50例，给予口服左旋甲状腺素治疗；疗程3个月。结果：治疗前后两组经统计学处理，痊愈率比较无显著性差异，但总有效率比较有显著性差异（P〈0．05）；治疗前后甲状腺结节大小比较有显著性差异（P〈0．05）（多发结节以最大者计入）；各组治疗前后的FT3、FT4差异均无统计学意义，P〉0．05；治疗组的TSH在治疗前后差异无统计学意义，P〉0．05；对照组的TSH治疗后明显低于治疗前，P〈0．05。结论：肺脾同治自拟中药治疗甲状腺结节疗效、安全性优于单纯口服甲状腺激素治疗。

Clinical observation on 100 cases of thyroid nodule treated from both lung and Spleen

Object： To observe the effect of treating thyroid nodule from both lung and spleen. Methods： We randomly divided 100 cases, diagnosed as thyroid nodule, into two groups for clinical observation. The 50 cases of the treatment group were treated with herbal medicine of nourishing lung-yin, strengthening spleen-qi and removing phlegm and nodules while the other 50 cases of the control group were given levothyrocine, for 3 months. Results： There was no significant difference between the cure rate of the two groups while the total effective rate of the two groups had significant difference （P〈0.05）; nodules size before and after the treatment of the two groups had significant difference （P〈0.05） （the largest one counted for multiple nodules）; FT3 and FT4 of each group before and after the treatment had no statistical significance （P〉0.05）; TSH of the treatment group before and after the treatment had no statistical significance （P〉0.05） while that of the control group was significantly lower than before treated （P〈0.05）. Conclusion： The self-combined herbal medicine taken for treating thyroid nodule from both lung and spleen is more effective and safe than oral thyroid hormone only.