甲状腺机能亢进患者的临床治疗计划及诊断护理策略

Astasio Picado Álvaro
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引用次数: 0

摘要

甲亢是一种常见病,影响了欧洲0.8%的人口。当甲状腺分泌的甲状腺激素超过身体所需时,就会发生这种情况。有几种类型的治疗,如抗甲状腺药物、放射性碘治疗(131I)和最后的手术,除了这些治疗外,还提到了良好的卫生饮食取向。目的:从护理领域评估最安全、最有效的甲亢治疗类型,包括在实施这些治疗时应考虑的危险因素。方法:系统检索2015年至2021年间发表的试验和文章的文献来源。包括含有甲状腺机能亢进危险因素数据的研究。结果:426篇相关文献中,13篇符合纳入标准。甲状腺全切除术治疗失败率为26%,放射性碘治疗失败率为95%,而抗甲状腺药物治疗失败率为19.1%。结论:尽管所有现有的甲状腺功能亢进治疗方法的疗效都得到了验证,但在缓解时间和缓解率方面,抗甲状腺药物比其他治疗方法具有更高的疗效和安全性。另一方面,吸烟和女性性行为等危险因素被证明是进行甲状腺机能亢进治疗时的消极因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Planning and diagnostic nursing strategy in the clinical management of the patient with hyperthroidism
Hyperthyroidism is a common disease that affects 0.8% of the population in Europe. It occurs when the thyroid gland produces more thyroid hormones than your body needs. There are several types of treatment, such as antithyroid drugs, treatment with radioactive iodine (131I) and finally surgery, in addition to these treatments, reference is made to a good hygienic-dietary orientation. Objective: to assess from the nursing field the safest and most effective type of hyperthyroidism treatment, including the risk factors to take into account when carrying out these. Methodology: systematic searches were carried out in bibliographic sources of trials and articles published between 2015 and 2021. Including studies that contained data on risk factors for hyperthyroidism. Results: of 426 related articles found, 13 met the inclusion criteria. Total thyroidectomy surgery induced a 26% therapeutic failure rate and 95% radioactive iodine treatment compared to the 19.1% therapeutic failure in antithyroid drug treatment. Conclusion: Despite the verification of the efficacy of all existing hyperthyroidism treatments, antithyroid drugs have greater efficacy and safety than the rest of the treatments studied, in relation to the time and rate of remission. On the other hand, risk factors such as tobacco and female sex are evidenced, which are negative factors when carrying out treatment for hyperthyroidism.
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