引用本文:陈少珑,陈绎羽.阶梯给药法在甲亢术前准备中的应用效果观察[J].中国临床新医学,2019,12(1):51-53.
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阶梯给药法在甲亢术前准备中的应用效果观察
陈少珑,陈绎羽
532799 广西,隆安县人民医院普通外科(陈少珑);530021 南宁,广西壮族自治区人民医院手术室(陈绎羽)
摘要:
[摘要] 目的 探讨阶梯给药法在甲状腺功能亢进症(简称甲亢)术前准备中的安全性。方法 将90例行手术治疗的甲亢患者随机分为对照组和观察组各45例。对照组采用传统给药法,住院口服复方碘溶液;观察组采用阶梯给药法门诊服药。观察两组手术时间、术中失血量及术后并发症发生率情况。结果 两组患者在手术时间、术中失血量、术后并发症发生率等方面比较差异无统计学意义(P>0.05),两组患者的住院天数、住院费用比较差异有统计学意义(P<0.05)。结论 阶梯给药法行甲亢术前准备与传统服药法同样安全可靠,并缩短住院时间和减少住院费用,值得推广应用。
关键词:  甲状腺功能亢进症  阶梯给药  术前准备  碘剂
DOI:10.3969/j.issn.1674-3806.2019.01.13
分类号:R 581.1
基金项目:广西卫计委科研课题(编号:Z2014450)
Effects of stepwise administration on preoperative preparation for hyperthyroidism patients
CHEN Shao-long, CHEN Yi-yu
Department of General Surgery, the People′s Hospital of Long′an County, Guangxi 532799, China
Abstract:
[Abstract] Objective To investigate the safety of stepwise administration in preoperative preparation for hyperthyroidism patients. Methods Ninety patients with hyperthyroidism were randomly divided into control group(n=45) and observation group(n=45). The control group received conventional treatment and the observation group was treated with stepwise administration. The operation time, intraoperative blood loss and the rate of postoperative complications were compared between the two groups. Results There were no significant differences between the two groups in the operation time, the amount of blood loss during operation and the incidence of postoperative complications(P>0.05). There were significant differences between the two groups in average hospitalization days and average hospitalization expenses(P<0.05). Conclusion Stepwise administration is as safe and reliable as the conventional treatment in the preoperative preparation for hyperthyroidism patients. It can shorten the hospitalization time and reduce the hospitalization expenses.
Key words:  Hyperthyroidism  Stepwise administration  Preoperative preparation  Iodine