The Observation On The Clinical Efficacy And The Type Change Of Syndrome Of The Subacute Acute Thyroiditis That Is Treatment By Cleansing And Softening

Objective:To observe the clinical curative effect of the treatment of subacute thyroiditis,and to analyze the distribution of syndromes after treatment and the relationship between different syndromes and related physical and chemical indexes,With a view to the future of Chinese medicine treatment of subacute thyroiditis to provide more dialectical medication ideas and theoretical basis.Methods:Sixty-eight patients with subacute thyroiditis were randomly divided into observation group(n=35)and control group(n=33).As a result of the case of shedding(observation group 2 cases,the control group 3 cases),the actual number of cases completed 63 cases,including observation group of 33 cases,the control group of 30 cases.Under the premise of ensuring the same general treatment,the observation group used to clear the soft law for the treatment of the principles of the preparation of the solution of the soft side,the control group was given dexamethasone local injection treatment,4 weeks for a course of treatment after treatment of 3 courses Withdrawal.After treatment,the patients were followed up for half a year.And according to the traditional Chinese medicine diagnosis and dialectical classification criteria for patients with dialectical classification,observe the distribution of different syndromes and the relationship between the physical and chemical indicators.Results:1.Disease efficacy:statistical analysis showed that there was no significant difference between the two groups(P>0.05)2.Syndrome effect:according to the statistical analysis,there was no significant difference between the two groups(P>0.05)3.The integral change of symptom and signs:there were no significant differences in the symptoms and signs of the two groups before treatment(P>0.05);after treatment,the symptoms and signs of the two groups were significantly improved compared with before treatment,and the observation group improved better than the control group(P<0.05).4.ESR changes:there was no significant difference in ESR between the two groups before treatment(P>0.05);the ESR of the two groups decreased significantly after treatment,and there was no significant difference between the two groups(P>0.05),both groups can significantly reduce the patient ESR,and the effect is quite.5.Comparison of thyroid function:there was no significant difference in the thyroidfunction between the two groups before treatment(P>0.05);after treatment,both groups of FT3,FT4 were lower than before treatment,TSH has risen before treatment,there was no difference between groups(P>0.05),both groups can improve the patient's thyroid function,and the effect is quite.6.Changes in blood sugar:there was no significant difference in FBG between the two groups before treatment(P>0.05);after treatment,the blood glucose of the observation group decreased significantly compared with the control group,and there was significant difference(P<0.05).7.Recurrence rate comparison:the recurrence rate of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).8.Syndrome differentiation after treatment:the syndrome differentiation of the control group was shown,poisoning does not prove the highest proportion of evidence,followed by Yin Pingyang secret card,Qi and Yin deficiency and Yang Qi deficiency;the syndrome differentiation of the observation group after treatment showed,Qi and yang deficiency accounted for the highest proportion,followed by Yin Pingyang secret card,Yang Qi deficiency and poisoning is not evidence.9.Both the observation group and the control group,thyroid B-ultrasonography suggesting that there are nodules,are toxic to the most common evidence.10.The TSH value of yang qi deficiency syndrome was higher than that of yinping yang syndrome,and the difference was statistically significant(P<0.05).Conclusion:1.Cleansing soft and dexamethasone local injection therapy on heat syndrome cardiitis patients have a good effect.But the cleansing soft law in improving the clinical symptoms of patients more advantages.2.Cleansing soft law can improve the blood glucose tolerance of patients with abnormal blood glucose,for heat syndrome subacute thyroiditis with impaired glucose tolerance in patients.3.Two methods of treatment of heat syndrome subacute thyroiditis are likely to appear Yin Yang secret card,Qi and Yin Deficiency,yang deficiency syndrome,poisoning does not prove the four types of evidence of the outcome.Which dexamethasone local injection therapy to poison the end is not the most common evidence,clear soft law to Qi and Yin Deficiency is the most common.In the four syndromes,the review of thyroid ultrasonography prompted nodules to poison the end is not the most common evidence.Yang qi deficiency patients with TSH value is higher than Yin Pingyang secret syndrome,similar to subacute thyroiditis hypothyroidism,pay attention to the righteousness on the basis of governance to cure the spleen and kidney.