甲状腺功能亢进性周期性瘫痪38例临床分析  

Clinical analysis of 38 cases of hyperthyroidism periodic paralysis

作　　者：徐磊[1] 

机构地区：[1]郑州市第二人民医院内分泌科,450006

出　　处：《中国实用医刊》2015年第21期88-89,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨甲状腺功能亢进性周期性瘫痪临床特点及诊治方法。方法对38例甲状腺功能亢进性周期性瘫痪患者临床资料进行回顾性分析，内容包括发病诱因、临床表现、诊断结果、治疗方法、临床疗效等。结果饱餐是其发生甲状腺功能亢进性周期性瘫痪的主要诱因（42．11％）；首诊甲状腺功能亢进性周期性瘫痪率仅为55．26％，误诊率高达44．74％（P＞0．05）；临床治疗总有效率（100．00％）与无效率（0．00％）比较差异有统计学意义（ P＜0．05）。结论临床医生应准确掌握甲状腺功能亢进性周期性瘫痪临床特征，发现疑似病例应及时给予各项临床检查确诊病情，给予积极的补钾及对症治疗，保障患者疗效，指导患者出院后遵医嘱连续用药治疗，提高其预后效果。Objective To investigate the clinical features and treatment methods of hyperthyroid periodic paralysis. Methods The clinical data of 38 cases of hyperthyroidism periodic paralysis were retrospectively analyzed, including predis-posing factors, clinical manifestations, diagnosis, treatment, clinical efficacy, etc.Results Meal was the main cause of hy-perthyroidism periodic paralysis（42.11%）;the rate of first diagnosed hyperthyroid periodic paralysis only was 55.26%, the misdiagnosis rate was 44.74%（P＆gt;0.05）;clinical total efficiency（100.00%） and inefficiency（0.00%） comparing the re-sults were significant（P〈0.05）.Conclusions Clinicians should accurately grasp hyperthyroid clinical features of periodic paralysis, suspected cases should be promptly given to the clinical examination diagnosed the disease, giving a＆amp;nbsp;positive potassium and symptomatic therapy to protect patients, guidance prescribed continuous medication therapy to improve its prognosis of patients after discharge.

关 键 词：甲状腺功能亢进症 周期性瘫痪 临床特点 

分 类 号：R581.1[医药卫生—内分泌]