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目的;探讨二冬汤加减配合西药治疗老年甲状腺机能亢进症(甲亢)的临床疗效。方法:41例患者随机分为二冬汤组(治疗组)和丙基硫氧嘧啶对照组(对照组),分别给予二冬汤加减配合小剂量丙基硫氧嘧啶和常规量丙基硫氧嘧啶治疗,观察10周。结果:治疗组总有效率85.7％,对照组为85％,两组比较差异无显著性(P>0.05);两组治疗后血清甲状腺激素水平改善情况差异无显著性(P>0.05);二冬汤组治疗后失眠多梦、食欲不振、口干咽燥、倦怠乏力等症状的改善情况明显优于对照组(P<0.05)。结论:二冬汤加减配合西药治疗老年甲九可取得较好的临床疗效。
Objective To investigate the clinical efficacy of Er Dong Decoction plus western medicine in the treatment of senile hyperthyroidism (hyperthyroidism). Methods: Forty-one patients were randomly divided into two groups: Erdang decoction (treatment group) and propylthiouracil control group (control group). Erdong decoction combined with low dose propylthiouracil and conventional propylthiouracil Pyrimidine treatment, observed for 10 weeks. Results: The total effective rate was 85.7% in the treatment group and 85% in the control group, with no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups in the improvement of serum thyroid hormone (P> 0.05) After treatment, winter decoction group had more insomnia, poor appetite, dry mouth and throat, fatigue and other symptoms than the control group (P <0.05). Conclusion: Two winter decoction plus Western medicine treatment of elderly Jia nine can achieve better clinical efficacy.