摘要
目的分析全甲状腺切除术后低钙血症发生的原因,加强对患者病情的观察,总结相关临床护理经验。方法回顾性分析我院2016年2月-2018年5月间收治的68例全甲状腺切除术后发生低钙血症患者的临床资料,将患者分为观察组与对照组,每组34例。对照组患者给予常规围手术期护理,观察组患者针对术后低钙血症发生风险,加强临床观察,并给予实施针对性护理干预,比较两组患者术后的血清钙水平,并对患者进行随访,观察永久性低血钙发生情况。结果观察组患者术后9、12、15 d血清钙水平明显高于对照组患者(P<0.05),术后随访结果表明观察组患者永久性低血钙症发生率为2.9%,明显低于对照组患者的17.6%,组间差异有统计学意义(P<0.05)。结论加强全甲状腺切除术后低钙血症患者的观察,并实施针对性护理能够有效改善患者术后血清钙水平,降低永久性低血钙症发生率。
Objective To analyze the causes of hypocalcemia after total thyroidectomy,strengthen the observation of patients’condition,and summarize the relevant clinical nursing experience.Methods The clinical data of 68 patients with hypocalcemia after total thyroidectomy in our hospital from February 2016 to May 2018 were retrospectively analyzed.The patients were divided into observation group and control group,34 cases in each group.The patients in the control group were given routine perioperative nursing,while the patients in the observation group were given targeted nursing intervention to strengthen clinical observation in view of the risk of hypocalcemia after operation.The serum calcium levels of the patients in the two groups were compared,and the patients were followed up to observe the occurrence of permanent hypocalcemia.Results The serum calcium level in the observation group was significantly higher than that in the control group 9,12 and 15 days after operation(P<0.05).The follow-up results showed that the incidence of permanent hypocalcemia in the observation group was 2.9%,which was significantly lower than that in the control group(17.6%).There was a significant difference between the two groups(P<0.05).Conclusion Strengthening the observation of hypocalcemia patients after total thyroidectomy and implementing targeted nursing can effectively improve the serum calcium level of patients after total thyroidectomy and reduce the incidence of permanent hypocalcemia.
作者
吕秀方
LYU Xiufang(Department of Orthopaedic Surgery,Xianning Hospital of Traditional Chinese Medicine,Xianning Hubei 437100,China)
出处
《中国继续医学教育》
2020年第15期184-186,共3页
China Continuing Medical Education
关键词
全甲状腺切除术
低钙血症
围手术期
临床
观察
护理
total thyroidectomy
hypocalcemia
perioperative period
clinical
observation
nursing
