标题：甲状腺癌患者全程护理干预单中心分析（附942例报告）

      作者：何红艳，李 瑞，庞飞雄，王丽静，杨发秀，张嘉越
    （中国人民解放军第303医院普通外科，广西 南宁 530021）

      卷次： 2014年25卷3期

      【摘要】 目的 根据我院20年甲状腺癌手术构成比变迁情况，总结相应的全程护理干预措施调整。方法 回
顾20年我院甲状腺手术后病理报告942例，按1991-1995年、1996-2000年、2001-2010年分为三个阶段，分析甲
状腺癌全程护理干预措施临床效果。结果 3个阶段中，围手术期并发症的发生率比较差异有统计学意义(P<
0.05)，近10年以来甲状腺癌围手术期并发症发生率最高。结论 随着甲状腺疾病谱的变迁，调整护理对策，强化
全程的碘营养监测及心理干预，个体化的护理指导，提高对高危甲状腺癌患者术后的护理管理水平，以及规范化
的出院指导和随访是提高甲状腺癌综合疗效的重要保证。

      【关键词】 甲状腺疾病；甲状腺癌；并发症；护理干预

      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2014）03—0460—03


Whole course nursing intervention for thyroid carcinoma: a report of 942 cases.
HE Hong-yan, LI Rui, PANG
Fei-xiong, WANG Li-jing, YANG Fa-xiu, ZHANG Jia-yue. Department of General Surgery, the 303rd Hospital of Chinese
PLA, Nanning 530021, Guangxi, CHINA

【Abstract】 Objective To explore the adjustment of nursing intervention on thyroid carcinoma according to
the change of thyroid surgery spectrum in Guangxi between 1991 and 2010. Methods The pathological reports of
thyroid surgery of 942 cases in three periods (1991-1995, 1996-2000 and 2001-2010) were reviewed retrospectively.
The clinical nursing results were analyzed. Results The incidents of complication during perioperative period were
16.8%, 8.5% and 4.0%, respectively. The clinical result was the best in the latest 10 years (P<0.05). Conclusion Ac-
cording to the change of spectrum of thyroid surgery, it is necessary to adjust the methods of nursing intervention. The
whole course model of nursing intervention is the key point to improve clinical quality.

      【Key words】 Thyroid diseases; Thyroid carcinoma; Spectrum of disease; Nursing intervention
·护 理·