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热性切除和传统甲状腺切除术对BTN患者的心理影响:一项前性观察性研究
Pan Zhang1,2, Lanlan Wang1,2, Genpeng Li1,2
1Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Endocrine
|April 10, 2024
概括
与传统的甲状腺切除术相比,热切除术为良性甲状腺结节患者提供了更好的心理结果. 经过热移除的患者报告说,治疗后精神健康更稳定,睡眠质量改善.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 心理医学 心理医学
背景情况:
- 良性甲状腺结节 (BTNs) 通常用热切除或常规甲状腺切除术来治疗.
- 这些治疗对BTN患者的心理影响仍未得到充分研究.
研究的目的:
- 为了比较热性切除与传统甲状腺切除在BTN患者的心理影响.
- 为了评估随着时间的推移,心理痛苦和睡眠质量的变化.
主要方法:
- 一项前性调查研究从2021年7月到2022年7月招募了548名BTN患者.
- 经过验证的尺度在多个时间点测量了心理痛苦和睡眠质量.
- 一个倾向分数匹配 (PSM) 队列分析了纵向和横截面数据.
主要成果:
- 在460名完成者中,368人进行了热切除术,92人进行了传统的甲状腺切除术.
- 在PSM (n=342) 后,热除患者在6个月内表现出稳定的心理指标.
- 传统的甲状腺切除术患者经历了更大的焦虑和睡眠问题;热性切除术患者的术后睡眠质量更好.
结论:
- 与BTN管理的常规甲状腺切除术相比,热切除术显示出更好的心理结果.
- 这表明热除可能是改善患者福祉的首选治疗选择.
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