CAJ | 학술논문

目的：分析地塞米松应用序贯疗法治疗亚急性甲状腺炎的临床效果。方法68例亚急性甲状腺炎患者随机分为两组，每组34例，对照组患者给予醋酸泼尼松片口服治疗，研究组患者应用地塞米松序贯疗法静脉滴注。观察两组疗效。结果研究组患者退热时间、甲状腺肿大消退时间、甲状腺疼痛消失时间和总治疗时间均显著短于对照组；研究组治疗总有效率为94.12%，显著高于对照组70.59%；两组比较差异具有统计学意义(P<0.05)。结论地塞米松序贯疗法治疗亚急性甲状腺炎具有较好的临床疗效，可加快患者不良症状的消退，缩短治疗时间，促进康复。
목적：분석지새미송응용서관요법치료아급성갑상선염적림상효과。방법68례아급성갑상선염환자수궤분위량조，매조34례，대조조환자급여작산발니송편구복치료，연구조환자응용지새미송서관요법정맥적주。관찰량조료효。결과연구조환자퇴열시간、갑상선종대소퇴시간、갑상선동통소실시간화총치료시간균현저단우대조조；연구조치료총유효솔위94.12%，현저고우대조조70.59%；량조비교차이구유통계학의의(P<0.05)。결론지새미송서관요법치료아급성갑상선염구유교호적림상료효，가가쾌환자불량증상적소퇴，축단치료시간，촉진강복。
Objective To analyze the clinical effect of applying sequential therapy with dexamethasone in the treatment of subacute thyroiditis. Methods A total of 68 cases of subacute thyroiditis were randomly divided into two groups, with 34 cases in each group. The control group was treated by oral administration of prednisone acetate tablets, and the research group received intravenously sequential therapy with dexamethasone. Curative effects of the two groups were observed. Results The fever relieving time, thyromegaly subsiding time, thyroid pain relieving time, and total treatment time of the research group were all obviously shorter than those of the control group. The total effective rate of the research group was 94.12%, which was remarkably higher than 70.59%of the control group. The differences between the two groups were statistically significant (P<0.05). Conclusion Sequential therapy with dexamethasone has good clinical effect in the treatment of subacute thyroiditis, and it can enhance the subsiding of adverse reactions, shorten treatment time and promote patients’rehabilitation.