世界中医药

目的：观察针刺治疗甲状腺结节的疗效。方法：采用随机数字表法分为针刺观察组、针刺空白组和药物组，针刺观察组根据中医辨证取穴：曲池，臂臑，内关，蠡沟，列缺，丰隆，委中，局部可触及结节者，局部围刺；不能触及者，加患侧扶突，手法：泻法。针刺空白组取穴：中脘，气海，足三里，手法：针刺时尽量轻柔，不施任何补泻手法。两针刺组均每周治疗3次，30次为1个疗程；药物组口服左旋甲状腺素片，50 μg/次，1次／d，疗程10周。结果：针刺观察组总有效率明显高于针刺空白组和药物组（P<0.05）,针刺观察组治疗前后甲状腺结节体积明显缩小（P<0.05），针刺观察组治疗后结节体积明显小于针刺空白组和药物组（P<0.05）,差异有统计学意义;针刺观察组治疗前后甲状腺激素无明显变化（P>0.05）。结论：针刺可以有效地抑制和缩小早期良性甲状腺结节，改善临床症状,对患者甲状腺激素水平无影响。

English Summary:

To observe the therapeutic effect of acupuncture in treating thyroid nodules. Methods: Patients were divided into acupuncture study group, acupuncture control group and medicine group by random number table. Acupuncture study group were given acupuncture treatment according to syndrome differentiation of traditional Chinese medicine. Ll ll, LI 14, PC 6, LR 5, LU 7, ST 40, BL 40 were chosen. If local nodules could be touched, then local encircled needling was applied, if not, LI 18 in the disease part was also needled. Reducing method was used. The control group was given CV 12, CV 6, ST 36 needling gently without any reinforcement and reduction needling methods. Two acupuncture groups were treated three times a week, 30 times for one course of treatment; the medicine group was treated with Levothyroxine for 50 days, one time per week for ten weeks. Results: The total effective rate was significantly higher in the acupuncture study group and the medicine group (P<0.05). The volume of thyroid nodules in the acupuncture study group significantly decreased (P<0.05), compared with the acupuncture control group and the medicine group (P<0.05), and no changes of thyroid hormone were observed in acupuncture control group (P>0.05). Conclusion: Acupuncture can effectively inhibit and reduce early benign thyroid nodules, improve clinical symptoms; and have no effect on patients′ thyroid hormone levels.

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