首页|围术期小剂量地塞米松对甲状腺肿瘤切除术后咽喉痛的预防效果观察

围术期小剂量地塞米松对甲状腺肿瘤切除术后咽喉痛的预防效果观察

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目的 研究手术治疗甲状腺肿瘤的患者围术期应用小剂量地塞米松对预防术后咽喉痛的临床效果.方法 选取浙江省温岭中医院2014年7月~2016年7月接收的112例采用切除术治疗的甲状腺肿瘤患者为试验对象,随机分为研究组和对照组,其中对照组为56例,予以生理盐水静脉注射;研究组为56例,予以小剂量地塞米松静脉注射,比较2组术后咽喉疼痛预防效果以及术后血糖水平.结果 研究组术后VAS评分优于对照组,且研究组术后血糖水平优于对照组,差异有统计学意义(P<0.05).结论 对甲状腺肿瘤患者的围术期,小剂量地塞米松可以预防术后咽喉疼痛,疗效较好,值得临床推广.
Observation on the effect of small dose dexamethasone on the prevention of throat pain at perioperative period of thyroid tumor resection
Objective To study and analyze the effect of small dose dexamethasone on the prevention of throat pain at perioperative period of thyroid tumor resection. Methods 112 cases with thyroid cancer treated by resection in Wenling hospital of traditional Chinese medicine from July 2014 to July 2016 were selected as the study subjects which were divided into the study and the control group. The control group were given saline by intravenous injection, The study group were given small dose of dexamethasone intravenous injection. The preventive effect of postoperative throat pain and postoperative blood glucose level were compared between the two groups. Results Statistical analysis showed that the postoperative VAS score in the study group was better than that in the control group. The blood glucose level in the study group was better than that in the control group, the difference was statistically significant (P<0.05). Conclusion Perioperative treatment with small doses of dexamethasone is excellent for patients with thyroid tumors treated with resection. It can help patients prevent postoperative sore throat and has excellent application value and is worthy of clinical promotion.

perioperative perioddexamethasonethyroid neoplasmsresectionsore throat

吴建国、陈静

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浙江省温岭市中医院 普外科,浙江 温岭 317500

围术期 地塞米松 甲状腺肿瘤 切除术 咽喉痛

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(8)
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