首页|131I治疗甲亢后早发甲低50例临床研究

131I治疗甲亢后早发甲低50例临床研究

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目的:探讨和分析采用131I治疗甲亢患者后继发早发甲低的临床因素。方法回顾性分析本院2011年03月至2013年03月本院收治的采用131I治疗甲亢患者临床资料,治疗后定期随访,根据是否继发甲低将患者分成甲低组与非甲低组,通过统计学处理分析两组患者在年龄、性别、病程、治疗前甲状腺质量、131I剂量、治疗前后甲状腺功能、计划给予每克甲状腺组织的摄取剂量、是否接受过内科药物治疗等因素与甲低的关系。结果随访1年后,23.15%(50/216)患者治疗后继发甲低,76.85%(166/216)患者甲状腺恢复正常,两组患者在131I剂量上无显著性差异(P>0.05),但两组患者在每克组织给予的摄取剂量间差异存在显著性差异(P<0.05)。结论临床研究结果表明采用131I治疗甲亢时继发甲低与患者每克组织摄取的131I量密切相关,临床上可以通过适当调整131I的给药量来减少和避免早发甲低的发生。
Objective To investigate and analysis the clinical factors in patients with secondary hypothyroidism after 131I therapy for hyperthyroidism. Methods a retrospective analysis of our hospital in 2011 03 to 2013 03 months in the hospital clinical data of131I treatment for hyperthyroidism, regular folow-up after treatment, according to whether the patients were divided into secondary hypothyroidism hypothyroidism group and non hypothyroidism group, through statistical analysis of two groups in age, sex, course of disease, before and after the treatment of thyroid mass,131I dose, treatment of thyroid function, plan to give the ingestion dose per gram of thyroid tissue, whether the relationship between drug treatment received Department of internal medicine and factors such as hypothyroidism. After 1 years of folow-up results, 23.15% (50/216) subsequent hypothyroidism patients, 76.85% (166/216) in patients with thyroid returned to normal, the two groups had no significant difference in 131I dose (P>0.05), but there was significant difference between two groups of patients treated in the absorption dose per gram of tissue (P<0.05). Conclusion the clinical research results show that the 131I treatment of hyperthyroidism is closely related to131I and secondary hypothyroidism patients per gram of tissue uptake by, clinical on can by adjusting the dosage of 131I to reduce and avoid the occurrence of early hypothyroidism.

131Ihyperthyroidismhypothyroidism clinicalcurative effect

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辽宁省盖州市中心医院 115200

131I 甲状腺功能亢进 甲状腺功能减退 临床疗效

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(26)
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