上海针灸杂志2026，Vol.45Issue(5)：502-508,7.DOI:10.13460/j.issn.1005-0957.2025.14.0025
电揿针联合中药治疗甲状腺结节的疗效观察
Clinical observation on the efficacy of electrical intradermal needle combined with Chinese herbal medicine in the treatment of thyroid nodules
摘要
Abstract
Objective To observe the clinical efficacy of electrical intradermal needle combined with the Qi-regulating,phlegm-resolving,and goiter-dissipating prescription in the treatment of thyroid nodules(TN).Method Fifty patients with TN were randomly divided into a Chinese herbal medicine plus electrical intradermal needle group and a Chinese herbal medicine group,with 25 cases in each group.Both groups received basic interventions such as lifestyle modification.The Chinese herbal medicine group was treated with oral administration of the Qi-regulating,phlegm-resolving,and goiter-dissipating prescription,while the combined group received electrical intradermal needle therapy in addition to the same herbal treatment.Before and after treatment,the maximum transverse diameter and volume of thyroid nodules,traditional Chinese medicine(TCM)syndrome scores,anxiety scores,thyroid hormone levels,and adverse reactions were recorded.Result After treatment,the Chinese herbal medicine plus electrical intradermal needle group demonstrated significant decreases in nodule maximum transverse diameter and volume,TCM syndrome scores,and anxiety scores(P＜0.05);the TCM syndrome scores and anxiety scores of the Chinese herbal medicine group were also significantly reduced(P＜0.05).Compared with the Chinese herbal medicine group,the Chinese herbal medicine plus electrical intradermal needle group showed significantly greater reductions in the maximum transverse diameter of thyroid nodules,TCM syndrome scores,and anxiety scores after treatment(P＜0.05);the total effective rate of ultrasound and traditional Chinese medicine syndrome in the Chinese herbal medicine plus electrical intradermal needle group increased(P＜0.05).Conclusion Electrical intradermal needle combined with the Qi-regulating,phlegm-resolving,and goiter-dissipating prescription can more effectively improve the clinical efficacy in patients with thyroid nodules by reducing nodule transverse diameter and volume,improving TCM syndrome scores and anxiety status,with few adverse reactions.关键词
电针/皮内针疗法/揿针/针药并用/行气化痰消瘿方/甲状腺结节Key words
Electroacupuncture/Intradermal needle therapy/Thumbtack needle/Acupuncture medication combined/Qi-regulating,phlegm-resolving,and goiter-dissipating prescription/Thyroid nodule分类
医药卫生引用本文复制引用
周梦远,马琳,杨珂,李雪,吴童,方晓月,李靖..电揿针联合中药治疗甲状腺结节的疗效观察[J].上海针灸杂志,2026,45(5):502-508,7.基金项目
世界中医药科技专项(WFCMS2024033) （WFCMS2024033）
北京市中医药科技发展资金项目(JJ-2020-42) （JJ-2020-42）
北京中医药大学东直门医院科技创新专项(DZMKJCX-2023-016) （DZMKJCX-2023-016）
