尿毒症继发性甲旁亢患者甲状旁腺全切联合自体移植术后早期发生低钙血症的危险因素

发布时间：2018-12-15 23:55

【摘要】：目的探讨尿毒症继发性甲旁亢患者在甲状旁腺切除术后早期发生低钙血症的危险因素。方法回顾性分析2013年7月至2016年8月116例接受甲状旁腺切除术的尿毒症继发性甲旁亢患者资料,根据术后24 h内血钙浓度分为2组:正常血钙组(术后钙浓度2 mmol/L)33例,低钙组(术后钙浓度≤2 mmol/L)83例。应用逐步Logistic回归,分析患者的年龄、透析时间、术前血钙、术前血红蛋白、术前ALP和术前PTH等指标。结果患者术前低血钙(95%CI 0.11~0.37,P=0.001)、高浓度碱性磷酸酶(95%CI 0.71~0.93,P0.001)和甲状旁腺激素(95%CI 0.58~0.85,P=0.003)为术后早期发生低钙血症的独立危险因素。结论术前低血钙、高浓度碱性磷酸酶和甲状旁腺激素是术后早期低钙血症的独立危险因素。
[Abstract]:Objective to investigate the risk factors of hypocalcemia in patients with secondary hyperparathyroidism after parathyroidectomy. Methods the data of 116 patients with secondary hyperthyroidism after parathyroidectomy from July 2013 to August 2016 were retrospectively analyzed. According to the serum calcium concentration within 24 hours after operation, the patients were divided into two groups: 33 normal blood calcium group (2 mmol/L postoperative calcium concentration). Low calcium group (postoperative calcium concentration 鈮，

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