杜正文，赵光恒，高迎飞*，王玉明

    (湖北医药学院附属人民医院，湖北十堰442000)

    消肿方结合四子散外敷治疗甲状腺术后肿胀临床观察

    杜正文，赵光恒，高迎飞*，王玉明

    (湖北医药学院附属人民医院，湖北十堰442000)

    目的观察消肿方结合四子散外敷治疗甲状腺术后肿胀的疗效。方法将甲状腺术后一周肿胀患者随机分成两组。治疗组(52例)给予内服消肿方，同时使用四子散外敷颈部；对照组(48例)常规使用TDP治疗仪理疗，一个疗程后比较两组肿胀消退情况、颈部不适感发生率、炎症指标等。结果治疗组经治疗后肿胀消退有效率(96.15%)高于对照组(81.25%)，两组差异有统计学意义(P<0.05)；治疗组经治疗后颈部不适感发生率低于对照组，差异有统计学意义(P<0.05)；治疗组经治疗后肿瘤坏死因子(TNF-α)和白介素-6(IL-6)水平低于对照组，差异有统计学意义(P<0.05)。两组治疗后均无不良反应发生。结论消肿方结合四子散外敷是治疗甲状腺术后肿胀的有效方法，效果显著，用药安全，值得推广。

    中医药；甲状腺手术；肿胀；消肿方；四子散

    〔Abstract〕Objective To observe the effect of Xiaozhong Fang combined with Sizi powder for external application on swelling after thyroidectomy.M ethods The patients with swelling after one week of thyroidectomy were randomly divided into two groups.The treatment group(52 cases)was given oral Xiaozhong Fang，and sizi powder topical neck；the control group(48 cases)was treated with conventional TDP physiotherapy.After a course of treatment，the swelling subsided，neck discom fort incidence，and inflammation markers were comapred.Results After treatment，the efficiency(96.15%)of swelling subsided in the treatnebt group was higher than that of the control group(81.25%) ......