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ID:20150231
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时间:2018-10-09
《131碘治疗甲状腺功能亢进并发房颤临床效果观察》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、131碘治疗甲状腺功能亢进并发房颤临床效果观察王晓燕,纪建松,朱丽萍,徐丽珍,蔡杰[摘要]目的:分析131碘治疗甲状腺功能亢进并发房颤的临床效果。方法:收集我院2012年1月-2013年12月期间诊治的甲状腺功能亢进并发房颤患者89例作为研究对象,以随机数字表分组的方式分为试验组(45例)与对照组(44例),对照组患者采用常规抗甲状腺药物他巴唑治疗,试验组采用131碘治疗,对两组患者的整体治疗效果、T3、T4、心率改善情况、不良反应发生率进行分析对比。结果:研究结果显示,试验组患者的整体治疗效果明显高于对照组(P<0.0
2、5),T3、T4、心率改善情况明显优于对照组(P<0.05),不良反应发生率明显低于对照组(P<0.05)。结论:131碘治疗甲状腺功能亢进并发房颤具有良好的临床疗效,能有效提高患者的整体治疗效果,促进T3、T4、心率改善,降低不良反应发生率,值得在临床应用上推广。[关键词]131碘甲状腺功能亢进房颤临床效果D0l:10.3760/cma.j.issn.0376-2491.2015.16.005作者单位:王晓燕,纪建松,朱丽萍,323000,浙江省丽水市,浙江省丽水市中心医院;325035,浙江省温州市,温州医科大
3、学附属第五医院TheClinicalEffectof131IodineintheTreatmentofThyroidFunctionHyperfunctionComplicatedwithAtrialFibrillationWangXiaoyan,JiJiansong,ZhuLiping,XuLizhen,CaiJieAbstract:ObjectiveToanalyzeoftheclinicaleffectof131iodinetreatmentinthyroidfunctionhyperfunctionwithatrial
4、fibrillation.Methods89casesofthyroidfunctionhyperthyroidismcomplicatedwithatrialfibrillationfromJanuary2012toDecember2013werecollectedastheresearchobjectandweredividedintotheexperimentalgroup(45cases)andthecontrolgroup(44cases).Thecontrolgroupweretreatedbyroutineant
5、i-thyroiddrugs-methimazoletreatmentwhilethetreatmentgroupweretreatedwith131iodine.Theoveralltreatmenteffectofthepatientsinthetwogroups,theirT3,T4index,improvedheartratesandtheincidenceofadversereactionswerecompared.ResultsTheresultsshowedthattheoveralltherapeuticeff
6、ectoftheexperimentalgrouppatientswasobviouslyhigherthanthatofcontrolgroup(P<0.05);T3,T4andimproveheartrateintheexperimentalgroupweresignificantlybetterthanthatofcontrolgroup(P<0.05);theincidenceofadversereactionsintheexperimentalgroupwasobviouslylowerthantheco
7、ntrolgroup(P<0.05).Conclusion131iodineiseffectiveinthetreatmentofthyroidfunctionhyperfunctioncomplicatedwithatrialfibrillation.Itcaneffectivelyimprovethepatients’overalltreatmenteffect,promotetheT3,T4andheartrate,andreducetheincidenceofadversereactions,whic
8、hisworthpopularizationinclinicalapplication.Keywords:131iodine;thyroidfunctionhyperfunction;atrialfibrillation;clinicaleffect甲状腺功能亢进并发房颤是甲
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