Clinical observation on the effect of Weiyan Zhuyu Decoction on the rehabilitation of patients after thyroid surgery
会厌逐瘀汤对甲状腺手术后患者康复的临床观察

摘要

目的 观察会厌逐瘀汤促进甲状腺手术后患者康复的临床疗效。方法 选取2023年1月-2025年12月在明光市中医院实施甲状腺手术的60例患者。术后中医辨证为痰瘀互结证。通过随机对照方式，分为观察组和试验组各30例。观察组予以西医常规治疗；试验组在常规治疗基础上口服会厌逐瘀汤。比较两组患者术后中医症状评分、炎性指标变化等，并对比两组临床疗效。结果 两组各30例患者完成研究，术后第一天咽喉异物感，吞咽疼痛，发音情况，切口疼痛感两组患者无差异（P均>0.05），术后第5天两组患者中医症状评分存在差异（P均<0.05），试验组患者中医症状评分降低更为显著。两组患者术前白细胞计数，中性粒细胞计数无差异（P均>0.05），术后5天两组患者白细胞计数，中性粒细胞计数存在差异（P<0.05），试验组白细胞计数、中性粒细胞计数降低更为显著。结论 甲状腺手术患者术后服用会厌逐瘀汤能有效改善中医症状，减轻术后炎性反应，有助于术后康复。

Abstract

Objective To observe the clinical efficacy of Weiyan Zhuyu Decoction in promoting the recovery of patients after thyroid surgery.
Methods Sixty patients who underwent thyroid surgery at Mingguang City Hospital of Traditional Chinese Medicine from January 2023 to December 2025 were selected. Postoperative TCM diagnosis was consistent with the syndrome of phlegm-stasis interlock. Through a randomized controlled method, they were divided into an observation group and an experimental group, each with 30 cases. The observation group received conventional Western medical treatment, while the experimental group was administered Huaiyan Zuyu Decoction orally in addition to conventional treatment. Postoperative TCM symptom scores, inflammatory indicators, and clinical efficacy were compared between the two groups.
Results All 30 patients in each group completed the study. There were no differences in the symptoms of throat foreign body sensation, pain during swallowing, voice condition, and incision pain between the two groups on the first postoperative day (all P > 0.05). There were differences in the scores of traditional Chinese symptoms on the fifth postoperative day between the two groups (all P < 0.05), and the scores of traditional Chinese symptoms in the experimental group decreased more significantly. There were no differences in white blood cell count and neutrophil count before the operation between the two groups (all P > 0.05), but there were differences in white blood cell count and neutrophil count on the fifth postoperative day (all P < 0.05), and the white blood cell count and neutrophil count decreased more significantly in the experimental group.
Conclusion   For patients after thyroid surgery, taking Weiyan Zhuyu Decoction after the operation can effectively improve traditional Chinese symptoms, reduce postoperative inflammatory reactions, and contribute to postoperative recovery.