西南国防医药Issue(2)：119-122,4.DOI:10.3969/j.issn.1004-0188.2015.02.002
甲状腺术后PTH及Ca水平对症状性低血钙的预测价值
predictive vaiue of pTH and Ca ievei for symptomatic hypocaicemia after thyroid operation
摘要
Abstract
Objective To observe the relation of serum parathyroid hormone( PTH )and serum calcium( Ca )level with the incidence of symptomatic hypocalcemia in the patients after thyroid operation and explore the predictive value. Methods Total 180 patients to receive thyroid operation in our hospital from Jan. 2011 to Dec. 2013 were selected as research subjects(male n=67,female n=113);the serum Ca and PTH levels one hour,12 hours,and 24 hours after the operation were measured,statistics of the incidences of postoperative symptomatic hypocalcemia was made,and the relationship between the postoperative serum Ca and PTH levels and symptomatic hypocalcemia was analyzed. Resuits In 180 cases,postoperative symptomatic hypocalcemia occurred in 67 cases,with an incidence of 37. 2%;the postoperative serum calcium concentration was less than 2. 2 mmol/L in 75 cases,including 64 ones(85. 3%) with symptomatic hypocalcemia,while postoperative serum calcium concentration was normal in 105 cases,including 3 ones(2. 9%) with symptomatic hypocalcemia( p <0. 05 ). After the operation,PTH of 77 cases was less than 1. 48 pmol/L including 61 ones (79. 2%)with symptomatic hypocalcemia and 103 ones was larger than 1. 48 pmol/L including six ones(5. 9%)with symptomatic hypocalcemia(p<0. 05). Conciusion The postoperative serum PTH and Ca levels after thyroid operation have correlation with the incidence of symptomatic hypocalcemia,so monitoring of postoperative serum PTH and Ca levels has significant predictive value for clinical use.关键词
甲状腺/甲状旁腺素/血钙/低钙血症/术后/预测Key words
thyroid/parathyroid hormone/serum calcium/hypocalcemia/postoperation/prediction分类
医药卫生引用本文复制引用
娄国平,李显东,张昭勇,曹政..甲状腺术后PTH及Ca水平对症状性低血钙的预测价值[J].西南国防医药,2015,(2):119-122,4.基金项目
湖北省教育厅2011年度科研项目计划 （）
