益气养阴化痰祛瘀法联合甲巯咪唑对甲状腺功能亢进症患者糖脂代谢和甲状腺激素水平的影响
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R581.1

基金项目:

天津市北辰区卫健系统科技项目(SHGY-2025018);


Effect of Yiqi Yangyin Huatan Quyu method combined with methimazole on glucolipid metabolism and thyroid hormone levels in patients with hyperthyroidism
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    目的:分析益气养阴化痰祛瘀法联合甲巯咪唑对甲状腺功能亢进症(甲亢)患者糖脂代谢和甲状腺激素水平的影响。方法:回顾性收集196例甲亢患者为研究对象,将其分为常规组和联合组,每组各98例,常规组予以甲巯咪唑治疗;联合组予以益气养阴化痰祛瘀法联合甲巯咪唑治疗。两组均连续治疗1个月。比较两组患者治疗前后中医症候积分[颈前肿大、心悸不宁、烦躁易怒、多食多饮]、糖脂代谢[餐后2 h血糖(2hPG)、总胆固醇(TC)、低密度脂蛋白(LDL-C)]、甲状腺激素[游离甲状腺素T3(FT3)、游离甲状腺素T4(FT4)、总三碘甲状腺原氨酸(TT3)、总甲状腺素(TT4)、促甲状腺激素(TSH)]水平。比较两组患者治疗期间药物不良反应总发生率(过敏性皮炎、胃肠道反应、白细胞减少)。结果:治疗后,两组患者中医症候积分、2hPG、FT3、FT4、TT3、TT4水平均下降(P<0.05),联合组心悸不宁、烦躁易怒、多食多饮中医症候积分和FT3、TT3水平更低(P<0.05);颈前肿大中医症候积分和2hPG、FT4、TT4水平与常规组比较,差异均无统计学意义(P>0.05);两组患者TC、LDL-C、TSH水平上升,组间比较,联合组更高(P<0.05)。治疗期间两组患者药物不良反应总发生率无统计学差异(P>0.05)。结论:益气养阴化痰祛瘀法联合甲巯咪唑治疗甲亢患者效果确切,可缓解临床症状,并改善糖脂代谢和甲状腺激素水平,且不会提高药物不良反应发生风险。

    Abstract:

    Objective: To analyze the influence of combination of Yiqi Yangyin Huatan Quyu method and methimazole on glucolipid metabolism and thyroid hormones levels in patients with hyperthyroidism. Methods: 196 patients with hyperthyroidism were included and categorized into routine group and combined group, with 98 cases in each group. The routine group was treated with methimazole, whereas the combined group received Yiqi Yangyin Huatan Quyu decoction combined with methimazole. Both groups were treated continuously for 1 months. The TCM symptoms scores (anterior neck enlargement, palpitations, irritability, polyphagia and polydipsia), glucolipid metabolism [2 h postprandial blood glucose (2hPG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C)] and thyroid hormones [free thyroxine T3 (FT3), free thyroxine T4 (FT4), total triiodothyronine (TT3), total thyroxine (TT4), thyroid stimulating hormone (TSH)] before and after treatment and total incidence rate of adverse drug reactions (allergic dermatitis, gastrointestinal reaction, leukopenia) during treatment were compared between both groups of patients. Results: After treatment, the scores of TCM syndromes and levels of 2hPG, FT3, FT4, TT3 and TT4 in the two groups were decreased, and the combined group had lower scores of TCM syndromes such as palpitations, irritability, and polyphagia and polydipsia as well as lower FT3 and TT3 levels (P0.05). The levels of TC, LDL-C and TSH were increased in both groups, and the levels in combined group were higher (P0.05). Conclusion: Yiqi Yangyin Huatan Quyu method combined with methimazole has an exact effect in the treatment of patients with hyperthyroidism. Additionally, it can relieve clinical symptoms, and improve glucolipid metabolism and thyroid hormones, and it will not increase the risk of adverse drug reactions.

    参考文献
    相似文献
    引证文献
引用本文

张为民;夏泽鲁;刘真如;李梦璇;温永天.益气养阴化痰祛瘀法联合甲巯咪唑对甲状腺功能亢进症患者糖脂代谢和甲状腺激素水平的影响[J].川北医学院学报,2026,41(3):298-302.

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2026-04-26
  • 出版日期:
文章二维码