甲状腺功能亢进症合并肝功能异常应用中西医结合治疗的效果分析

目的：探讨中西医结合治疗甲状腺功能亢进症合并肝功能异常的临床效果.方法：选取50例甲状腺功能亢进症合并肝功能异常患者,按照就诊顺序分为对照组和观察组,各25例.对照组给予甲硫咪唑和甘草酸二胺治疗,观察组给予甲硫咪唑和中药治疗.对比分析两组治疗效果.结果：对照组总有效率为60.0%,观察组总有效率为92.0%;观察组总有效率明显较对照组高,差异具有统计学意义（P〈0.05）.两组患者治疗后FT3、FT4、TT3、TT4均较治疗前降低,观察组治疗后FT3、FT4、TT3、TT4水平明显低于对照组,差异具有统计学意义（P〈0.05）.两组患者治疗后ALT、AST、TBIL均较治疗前降低,观察组治疗后ALT、AST、TBIL水平明显低于对照组,差异均具有统计学意义（P〈0.05）.结论：中西医结合方法治疗甲状腺功能亢进症合并肝功能异常效果显著,可明显改善甲状腺功能和肝功能,值得临床应用推广.

A clinical analysis of treating hyperthyroidism combined with liver function abnormalities in the integrative medicine

Objective： To explore clinical efficacy of integrative medicine on hyperthyroidism combined with liver function abnormalities. Methods： 50 patients were selected and randomly divided into control group and observation group according to visiting sequence, with 25 cases in each group. The control group was treated with methimazole and diammonium glycyrrhizinate. The observation group was treated with methimazole and TCM medicine. The therapeutic effects between two groups were compared. Results： The total efficacy in the control group and observation group were 60.0% and 92.0% respectively; the observation group was higher, and the difference was statistically significant （P〈0.05）. After treatment, the levels of FT3, FT4, TT3, TT4 in two groups were lower than before,especially in the observation group （P〈0.05）. The levels of ALT, AST, TBIL in two groups were lower than before, especially in the observation group （P〈0.05）. Conclusion： The integrative medicine can improve thyroid function and liver function, shows good effects, and is worthy of clinical promotion.