60例合并甲状腺功能减退妇科围手术处理的临床观察  

Clinical observation of perioperative treatment of 60 patients with gynecologic hypothyroidism

作　　者：邓红梅[1] 

机构地区：[1]江门市新会区中医院,广东江门529100

出　　处：《黑龙江医药科学》2015年第1期49-51,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的：探讨60例合并甲状腺功能减退妇科围手术处理的临床观察。方法：抽选我院2009-06~2013-12间120例需行妇科手术患者为研究对象,其中60例合并甲状腺功能减退者为亚临床甲减组,60例甲功正常者为对照组。结果：亚临床甲减组患者的TSH值高于对照组（P〈0.05）在开腹术式及腹腔镜术式中,亚临床甲减组患者的术后排气时间/麻醉时间较对照组高（P〈0.05）;亚临床甲减组腹腔镜术式者50岁以下排气时间/麻醉时间低于50岁以上者（P〈0.05）;亚临床甲减组术中出血量、愈合时间、并发症和对照组对比,无统计学差异（P〉0.05）。结论：妇科病人合并甲状腺功能减退者对手术耐受性较差,术后排气时间延长,且高龄者排气时间延长明显。Objective： To investigate the clinical observation of perioperative treatment of 60 patients with Gy- necologic hypothyroidism. Methods： 120 patients who needed routine gynecological operation patients in our hospi- tal between June, 2009 to December, 2013 were selected as research objects with 60 cases in subclinical hypothy- roidism group, while the other 60 cases in control group. Results： The TI3 values of patients in subclinical hypot- hyroidism group were lower than those in control group. The TSH values in subclinical hypothyroidism group were higher than those in control group （P 〈 0. 05 ）. In open operation and laparoscopic operation, postoperative exhaust time/duration of anesthesia in subclinical hypothyroidism group were higher than that in control group （ P 〈 0. 05 ）. In laparoscopic operation, the exhaust time/anesthesia time of patients below 50 years old in subclinical hypothy- roidism group was less than that of 50 years old patients （P 〈 0. 05）. The amount of bleeding,healing time and complications of two groups had no significant difference （P 〉 0.05 ）. Conclusion： Patients with gynecologic hy- pothyroidism have a poor tolerance to surgery and will extend postoperative exhaust time. And the exhaust time of the old significantly prolong.

关 键 词：妇科 甲状腺功能减退 围手术处理 

分 类 号：R581.2[医药卫生—内分泌]