甲状旁腺全切联合自体前臂移植术及护理对肾性甲状旁腺功能亢进患者的疗效分析

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Abstract Objective To study the effect of total resection of parathyroid glands combining with transplantation of autologous forearm on treating patients with renal hyperparathyroidism and analyze its corresponding nursing measures. Methods From March 2014 to February 2016，52 patients with renal hyperparathyroidism treated in our hospital were selected.All patientswere performed with total resection of parathyroid glands combining with transplantation of autologous forearm，and nursingmeasures in different levelswere applied.The systolic pressure，diastolic pressure，mean arterial pressure，blood calcium，serium inorganic phosphorus，immunoreactive parathyroid hormone（iPTH），haemoglobin（Hb），hematocrit（Hct），alkaline phosphatase（ALP）and dosage of recombinant human erythropoietin（rHuEPO）were compared before surgery one and three months after surgery.Results The systolic pressure，diastolic pressure and mean arterial pressure one and three months after surgery were greatly lower than those before surgery（all P＜0.05）.The levels of blood calcium，serium inorganic phosphorus and iPTH were also lower one and threemonths after surgery than those before surgery（P＜0.05）.There was no great difference in Hb or Hct between prior surgery and onemonth after surgery. However，the levels of Hb and Hct 3 months after surgery were remarkably higher than those before surgery（P＜0.05）. The level of ALP and dosage of rHuEPO one and threemonths after surgery were both lower than those before surgery （P＜0.05）.Conclusion Combination of total resection of parathyroid glands and transplantation of autologous forearm can obtain a remarkable effect on treating renal hyperparathyroidism.Effective nursing can greatly improve the surgical effect and promote patient′s recovery as soon as possible.

Key words： Renalhyperparathyroidism Total resection ofparathyroid glands Transplantation ofautologous forearm Nursing

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	LIYong-fang
	LIHui-wen
	WANG Cai-ping
	ZHAOMiao-feng

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LIYong-fang,LIHui-wen,WANG Cai-ping, et al. Effect analysis of total resection of parathyroid glands combining with transplantation of autologous forearm and nursing in patients with renal hyperparathyroidism[J]. 中国当代医药, 2016, 23(25): 189-191.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I25/189

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