甲状腺全切除术对结节性甲状腺肿患者生活质量的影响
Total thyroid resection on the quality of life in patients with nodular goiter
李文 1吉棚 2孙焕乐
作者信息
- 1. 莱阳中心医院 普通外科,山东 莱阳 265200
- 2. 潍坊市阳光融和医院 普外科,山东 潍坊 261000
- 折叠
摘要
目的 探讨分析低血钙静脉补充钙剂以及活性维生素D3对甲状腺全切除术对结节性甲状腺肿患者生活质量的影响.方法 选取莱阳中心医院2014年3月~2016年9月期间进行甲状腺全切除术的结节性甲状腺肿患者40例,将其随机分为对照组和实验组,每组各20例.对照组患者实施结节性甲状腺腺叶切除术,实验组实施甲状腺全切除术.采用欧洲五维健康相关生活质量量表(EQ-5D)对2组患者的生活质量进行分析评价.结果 2组患者的相关问卷调查显示,患者的行动能力、自我照顾能力、日常活动能力、疼痛或不舒服的情况、焦虑或者是抑郁情况以及VAS得分的比较结果显示,差异无统计学意义.与普通人相比,实验组患者的疼痛或者是不舒服的情况的问卷调查结果显示,选择中度及以上异常者的比例比较高,差异具有统计学意义(P<0.01).其他方面和普通人相比差异无统计学意义.结论 对于结节性甲状腺肿患者采用甲状腺全切术进行治疗,效果良好,对患者的生活质量的影响也比较小.
Abstract
Objective To investigate the analysis of low calcium intravenous calcium supplementation agent and active vitamin D3 on total thyroidectomy on quality of life in patients with nodular goiter. Methods 40 cases of nodular goiter with total thyroidectomy were performed in our hospital from March 2014 to September 2016. It was randomly divided into control group and experimental group, 20 cases in each group. The patients in the control group were nodular thyroidectomy and the experimental group underwent total thyroidectomy. The quality of life of two groups of patients was evaluated by using the European five-dimensional health-related living quality scale (eq-5d). Results Two groups of patients, relevant questionnaire survey of the patient's ability to act, self-care ability, daily activity ability, pain or discomfort, anxiety, or depression, and the comparison of VAS score, according to the results of difference was not statistically significant. In comparison with ordinary people, the questionnaire survey results showed that the proportion of patients with moderate or above differences was higher and the difference was significant (P< 0.01). There was no statistical significance compared to the average person. Conclusion All patients with nodular goiter are treated with total thyroidism, and the effect is good, and the quality of life of patients is relatively small.
关键词
甲状腺全切术/结节性甲状腺肿/低血钙静脉补充钙剂/活性维生素D3/生活质量/影响Key words
total thyroidism/tuberous goiter/hypocalcemia intravenous calcium supplementation/the activity of vitamin D3/quality of life/impact引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据