血清的相对下降作为甲状腺切除术后低血症的预测因素
Hamed Al Maawali1, Yahya Al Badaai2
1Department of Otolaryngology, Head & Neck Surgery, Armed Forces Hospital, The Medical City for Military & Security Services, Seeb, Governorate of Muscat, Sultanate of Oman.
The Journal of laryngology and otology
|October 22, 2024
概括
在6小时后纠正的下降显示了与未损坏的甲状腺激素相似的甲状腺切除术后低血的预测能力. 这一发现表明了一种潜在的新方法来监测全甲状腺切除术后的患者.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 临床化学 临床化学
背景情况:
- 甲状腺切除术后的低血是常见的并发症.
- 完整的副甲状腺激素 (iPTH) 水平被广泛用于预测低血.
- 需要一种更简单,同样有效的预测标记.
研究的目的:
- 为了评估经过整体甲状腺切除术后缺血症的预测因素,在6小时后纠正的水平下降.
- 为了将其预测值与已建立的完整副甲状腺激素 (iPTH) 度量进行比较.
主要方法:
- 对209名接受全甲状腺切除术的患者进行了回顾性队列研究 (2016年1月 - 2020年2月).
- 在手术前和6小时后收集的血清和iPTH水平.
- 使用接收器运行特征 (ROC) 曲线来比较预测性能.
主要成果:
- 6小时后纠正的下降显示曲线下的面积 (AUC) 为0.797.7.
- 6小时的相对iPTH下降的AUC为0.737.
- 在AUC的差异不是统计学上显著的,表明类似的预测值.
结论:
- 在6小时后纠正的下降是术后低血的可比预测因素,与6小时后相对的IPTH相比.
- 这一指标为全甲状腺切除术后的患者监测提供了潜在的替代方案.
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