虾是什么动物:碘剂在甲亢围手术期应用的临床对比性研究 - 中国学术期刊网络出版总库
来源:百度文库 编辑:九乡新闻网 时间:2024/04/29 13:57:23
碘剂在甲亢围手术期应用的临床对比性研究
Clinical Research on the Perioperative Application of Iodides in Patients with Hyperthyroidism
- 推荐 CAJ下载
- PDF下载
- 不支持迅雷等下载工具,请取消加速工具后下载。
【作者】 乔文礼; 满都胡; 张瑞明; 张彤; 宝力道;
【Author】 QIAO Wen-li1,MAN Du-hu2,ZHANG Rui-ming1,ZHANG Tong1,BAO Li-dao1(1.Department of General Surgery,The Affiliated Hospital of Inner Mongolia Medical College,Huhhot 010050 China;2.Department of Mongolian Surgery,The Affiliated Hospital of Inner Mongolia University for the Nationalities,Tongliao 028000 China)
【机构】 内蒙古医学院附属医院普外科; 内蒙古民族大学附属医院蒙医外科;
【摘要】 目的:探讨甲状腺机能亢进症(甲亢)围手术期术后服碘或不服碘对病人体内甲状腺素和皮质醇的影响。方法:对60例中、重度甲亢病人按术后是否服碘随机分为A、B两组,术后服碘A组30例,术后不服碘B组30例,60例病人均经内科门诊口服抗甲状腺药物治疗3个月以上,转外科。用放射免疫法测定手术前后不同时间的T3、T4、促甲状腺激素(TSH)及皮质醇的变化。结果:全部病例病情均稳定控制,甲状腺缩小变硬,如期手术,无危象及呼吸道并发症发生。T3、T4、TSH服碘前和术晨比较差异无统计学意义,术后24、36 h下降明显(P<0.01);A、B两组组间比较差异无统计学意义;皮质醇两组术晨、术后与服碘前比较呈下降趋势(P<0.01),术后24 h与36 h结果比较差异无统计学意义。结论:术前服碘是甲亢术前准备用药中重要、安全、可靠的方法。术后服碘已无实际意义。 更多还原
【Abstract】 Objective:To investigate the effects of iodides on thyroid hormone and hydrocortisone with hyperthyroidism before and after operation.Methods:60 patients with mediate or severe degree hyperthyroidism undergoing operation were randomly divided into A or B two groups according to whether to take iodides after operation.Group A:30 cases taken iodides after operation.Group B:30 cases not taking iodides after operation.All the patients had been treated more than one month by medicine to take antithyr... 更多还原
【关键词】 碘剂; 甲状腺机能亢进症; 围手术期; 皮质醇; 甲状腺危象;【Key words】 Iodides; Hyperthyroidism; Perioperative treatment; Hydrocortisone; Thyroid crisis;
【基金】 内蒙古自治区自然科学基金项目(20010906-18)