【摘要】 目的:研究甲狀腺癌根治术后患者口服钙剂及维生素D预防低钙血症的效果。方法:选择本院于2015年1月-2016年1月30例行甲状腺癌根治术患者,纳入对照组,术后行常规用药治疗;于2016年2月-2017年1月随机抽取30例行甲状腺癌根治术患者,纳入观察组,术后在常规治疗基础上增加口服钙剂及维生素D。观察并比较两组患者低钙血症发生率与术前及术后1 d、7 d、出院3个月血清钙、甲状旁腺激素指标值。结果:观察组术后低钙血症发生率低于对照组( 字2=9.886,P=0.002)。血清钙0.05);术后1、7 d以及出院3个月,观察组患者甲状旁腺激素水平均优于对照组(t=4.676、4.402、4.899,P=0.000、0.000、0.000);术后7 d、出院3个月,观察组血清钙水平均优于对照组(P, 百拇医药
【关键词】 低钙血症; 甲状腺癌; 血清钙; 甲状旁腺激素
The Effect Observation of Oral Calcium and Vitamin D on Prevention of Hypocalcemia in Patients with Thyroid Cancer after Radical Thyroidectomy/HUANG Fei,QIU Changhong.//Medical Innovation of China,2018,15(03):039-042
【Abstract】 Objective:To study the effect of oral calcium and Vitamin D on prevention of hypocalcemia in patients with thyroid carcinoma after radical operation.Method:30 patients undergoing radical thyroidectomy in our hospital from January 2015 to January 2016 were included in the control group and treated with routine medication after operation;from February 2016 to January 2017,30 patients undergoing radical thyroidectomy were randomly selected and included in the observation group,after operation,oral calcium and Vitamin D were added on the basis of routine treatment.The incidence of hypocalcemia and preoperative and postoperative 1 d,7 d,3 months after the serum calcium,parathyroid hormone index value of the two groups were observed and compared.Result:The incidence of hypocalcemia in the observation group was significantly higher than that in the control group( 字2=9.886,P=0.002).In the patients with serum calcium0.05).After operation 1 d,7 d,and 3 months discharged from hospital,the levels of parathyroid hormone in the observation group were better than those of the control group(t=4.676,4.402,4.899;P=0.000,0.000,0.000).7 d after operation and 3 months discharged from hospital,the average serum calcium water in the observation group were better than those of the control group(P, 百拇医药(黄飞 邱昌洪) 第 1 2 3 页 下一页
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