首页|普萘洛尔辅助甲巯咪唑治疗甲状腺功能亢进症的效果及对患者甲状腺功能、钙磷代谢的影响

普萘洛尔辅助甲巯咪唑治疗甲状腺功能亢进症的效果及对患者甲状腺功能、钙磷代谢的影响

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目的 探讨普萘洛尔辅助甲巯咪唑治疗甲状腺功能亢进症(简称甲亢)的效果及对患者甲状腺功能、钙磷代谢的影响.方法 选取 2021年 10 月—2023年 10 月于金乡县人民医院接受治疗的 60 例甲亢患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组 30 例.对照组采用甲巯咪唑治疗,观察组在对照组基础上采用普萘洛尔治疗,两组均持续治疗 3个月.对比两组患者的临床疗效、甲状腺功能、钙磷代谢水平及不良反应发生情况.结果 观察组的治疗总有效率为 96.67%,高于对照组的 73.33%,差异有统计学意义(P<0.05).治疗后,观察组的游离三碘甲状腺素、游离甲状腺素、血磷水平均低于对照组,血清促甲状腺激素、血钙水平均高于对照组,组间差异有统计学意义(P<0.05).两组的不良反应发生率比较,差异无统计学意义(P>0.05).结论 普萘洛尔联合甲巯咪唑治疗甲亢患者的效果理想,可促进甲状腺功能改善,调节钙磷代谢水平,且不良反应较少.
Effect of Propranolol Assisted Methimazole in the Treatment of Hyperthyroidism and Its Influence on Thyroid Function,Calcium and Phosphorus Metabolism
Objective To investigate the effect of propranolol assisted methimazole in the treatment of hyperthyroidism and its influence on thyroid function,calcium and phosphorus metabolism.Methods Sixty patients with hyperthyroidism who received treatment in Jinxiang People's Hospital from October 2021 to October 2023 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group was treated with methimazole,and the observation group was treated with propranolol on the basis of the control group,both groups were treated for 3 months.The clinical efficacy,thyroid function,calcium and phosphorus metabolism levels and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 96.67%,which was higher than 73.33%of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of free triiodothyroxine,free thyroxine and blood phosphorus in the observation group were lower than those in the control group,and the levels of serum thyrotropin and blood calcium were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Propranolol combined with methimazole is effective in the treatment of hyperthyroidism,which can improve thyroid function and regulate calcium and phosphorus metabolism with less adverse reactions.

HyperthyroidismPropranololMethimazoleClinical efficacyThyroid functionCalcium and phosphorus metabolism

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金乡县人民医院内分泌科,山东济宁 272200

甲状腺功能亢进 普萘洛尔 甲巯咪唑 临床疗效 甲状腺功能 钙磷代谢

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(13)