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目的:分析亚急性甲状腺炎的临床特点及治疗方法。方法:收集我院2012年11月-2013年11月期间诊治的亚急性甲状腺炎患者45例作为研究对象,采用回顾性的方式分析患者的临床资料,总结临床特点和治疗方法。结果:研究结果显示,本组患者以女性居多,男女比例为1:4,患者的临床症状主要为:颈部前疼痛38例,占总数的84.44%,甲状腺触痛43例,占总数的95.56%,所有患者均通过强的松或消炎痛治疗,患者均取得了良好的临床效果。其中,痊愈32例,有效13例,总有效率为100.0%,经消炎痛治疗的患者疼痛减缓时间为3d-8d,平均(5.14±0.64)d,经强的松治疗的患者疼痛减缓时间为1d-3d,平均(1.22±0.15)d,两种治疗方式疼痛缓解时间比较差异具有统计学意义(P<0.05)。同时,患者治疗前后疼痛评分比较具有显著差异(P<0.05)。结论:亚急性甲状腺炎患者往往没有较典型的临床表现,因此在诊断过程中需要充分了解患者的病史情况,并结合患者的性格特点,利用相关实验室辅助检查明确病情并积极诊治,在治疗效果上,强的松的消炎止痛效果优于消炎痛。
Objective: To analyze the clinical features and treatment of subacute thyroiditis. Methods: 45 cases of subacute thyroiditis diagnosed and treated in our hospital from November 2012 to November 2013 were collected. The clinical data of the patients were retrospectively analyzed, and the clinical features and treatment methods were summarized. Results: The results showed that the majority of female patients in this group, the male to female ratio of 1: 4, the clinical symptoms were: 38 cases of anterior cervical pain, accounting for 84.44% of the total, 43 cases of thyroid tenderness, accounting for 95.56 %, All patients were treated by prednisone or indomethacin, patients have achieved good clinical results. Among them, 32 cases were cured, 13 cases were effective and the total effective rate was 100.0%. The pain relief time was 3d-8d in the patients treated with indomethacin, with an average of (5.14 ± 0.64) d. The pain relief time 1d-3d, mean (1.22 ± 0.15) d. There was significant difference in pain relief time between the two treatment methods (P <0.05). At the same time, the pain scores of patients before and after treatment were significantly different (P <0.05). Conclusion: Patients with subacute thyroiditis often have no typical clinical manifestations. Therefore, in the process of diagnosis, it is necessary to fully understand the patient’s medical history, combined with the patient’s personality characteristics, the use of relevant laboratory tests to confirm the disease and active diagnosis and treatment, in the treatment effect On, prednisone anti-inflammatory analgesic effect is better than indomethacin.