全甲状腺切除术后低钙血症患者的临床观察及护理

Clinical observation and nursing for patients with hypocalcemia after total thyroidectomy

目的 观察和总结全甲状腺切除术后低钙血症（PHC）患者的临床观察及护理措施.方法 选取接受全甲状腺切除术后发生低钙血症患者50例,全部患者均接受护理干预,分析护理干预前后血清钙水平,观察预后效果.结果 术后1～10 d血清钙水平均低于术前（P＜0.05）,术后第15天患者血清钙水平基本恢复,与术前比较无统计学意义（P＞0.05）;随访期间,未发现永久性低血钙症患者,康复率为100％.结论 针对行全甲状腺切除术后低钙血症患者,实施综合护理干预可改善低钙血症临床症状,加快患者康复速度,提升患者生活质量,值得临床推广应用.

Objective To explore the clinical symptoms of the total thyroidectomy hypocalce- mia （PHC） in patients and its nursing measures. Methods A total of 50 patients with hypocalcemia receiving total thyroidectomy in our hospital were selected, and all patients underwent nursing intervention, serum calcium levels before and after nursing intervention were analyzed, and the effect of prognosis were observed. Results After one to ten days of operation, serum calcium level was lower than operation before （ P 〈 0.05 ）, postoperative serum calcium level in 15 days returned to preopera- tive level, and there was no significant difference compared with the preoperative serum calcium level （P 〉 0.05）. During follow - up, no permanent hypocalcemia patients were found, the recovery rate was 100.00%. Conclusion Comprehensive nursing intervention for total thyroidectomy patients with hypocalcemia can improve the clinical symptoms of hypocalcemia, shorten rehabilitation time, and improve the life quality of the patients, so it is worthy of clinical application.