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目的:研究益气养阴散结汤加减辅助治疗对甲状腺癌术后患者临床疗效及甲状腺功能的影响。方法:选取我院在2014年1月~2016年7月期间收治的62例甲状腺癌术后患者,按照不同治疗方式将患者分成对照组与观察组(每组31例)。对照组患者采用左甲状腺素钠治疗,观察组患者采用益气养阴散结汤联合左甲状腺素钠治疗。观察不同治疗方式下对甲状腺癌术后患者临床症状以及甲状腺功能的影响。结果:治疗后观察组患者在口疮、心悸、声嘶、便干等临床症状中的改善情况明显优于对照组(P<0.05);治疗后观察组患者临床症状改善起效时间明显早于对照组(P<0.05);治疗前两组患者血清TSH和TG含量比较无差异(P>0.05);治疗后观察组患者血清TSH和TG含量下降程度明显优于对照组(P<0.05);对照组患者治疗前后血清TSH和TG含量比较无差异(P>0.05);治疗前,两组患者最大甲状腺结节直径比较无差异(P>0.05),治疗后观察组患者最大甲状腺结节直径缩小程度明显大于对照组(P<0.05)。结论:益气养阴散结汤可提高临床治疗疗效,改善甲状腺癌患者术后临床症状的,提高患者生活质量,值得在临床上推广使用。
Objective: To study the effect of supplementing and subtracting adjuvant therapy of Yiqi Yangyin Sanjie Decoction on postoperative patients with thyroid cancer and thyroid function. Methods: Sixty-two patients with thyroid cancer who were treated in our hospital from January 2014 to July 2016 were selected and divided into control group and observation group (31 cases in each group) according to different treatment methods. The patients in the control group were treated with levothyroxine and the patients in the observation group were treated with Yiqi Yangyin Sanjie Decoction combined with levothyroxine sodium. To observe the different treatment of thyroid cancer patients with clinical symptoms and thyroid function. Results: After treatment, the improvement in the clinical symptoms such as aphthous, palpitations, hoarseness, dryness and so on in the observation group was significantly better than that in the control group (P <0.05). After treatment, the onset and the onset of clinical symptoms in the observation group were significantly earlier than those in the control group (P <0.05). There was no significant difference in serum TSH and TG levels between the two groups before treatment (P> 0.05). After treatment, the levels of serum TSH and TG in the observation group were significantly better than those in the control group (P <0.05) There was no significant difference in serum TSH and TG before and after treatment (P> 0.05). Before treatment, there was no significant difference between the two groups in the diameter of the largest thyroid nodule (P> 0.05). After treatment, the diameter of the largest thyroid nodule decreased Significantly higher than the control group (P <0.05). Conclusion: Yiqi Yangyin Sanjie Decoction can improve clinical curative effect, improve clinical symptoms of patients with thyroid cancer, and improve the quality of life of patients, which is worth popularizing in clinic.