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774例甲状腺癌的临床及护理分析
引用本文:张春华,戴翠华,张作峰,赵明春,姚志刚.774例甲状腺癌的临床及护理分析[J].中国临床实用医学,2010,4(9):243-244.
作者姓名:张春华  戴翠华  张作峰  赵明春  姚志刚
作者单位:1. 日照市人民医院普外科,276826
2. 日照市人民医院病理科,276826
摘    要:目的研究甲状腺癌的临床特点及护理对策。方法分析1992~2008年甲状腺癌检出率、构成比、碘营养、健康体检频率的变化及护理方法。结果17年外检总量122900例,甲状腺癌774例,总外检率0.63%,2000年后甲状腺癌发病率、检出率、甲状腺乳头状癌在甲状腺癌中的构成、微小癌占PTC比例增高(P〈0.05)。所有甲状腺癌手术患者通过整体观个性化护理恢复良好,顺利出院。结论随着健康体检观念增强、诊断水平提高及碘饮食增多,甲状腺微小癌检出率增加。整体观个性化护理是甲状腺癌手术护理的关键。

关 键 词:甲状腺癌  发病率  临床  护理

Study on the clinical characteristics and nursing of 774 cases of thyroid carcinomas
Affiliation:ZHANG Chun-hua, DAI Cui-hua, ZHANG Zuo-feng, et al. (Department of General Surgery, People' s Hospital of Rizhao, Rizhao 276826, China)
Abstract:Objective To study the clinical characteristics and the strategies of nursing of thyroid carcinomas.Methods A statistic analysis was performed on materials of thyroid carcinomas.The detection rates of each type of thyroid carcinoma and the constituent ratios of papillary thyroid carcinoma(PTC) and follicular thyroid carcinoma were determined from 1992 to 2008.Results The number of total thyroid carcinomas in the 17 years was 774 and the constituent ratio of PTC in thyroid carcinoma increased significantly after 2000 (P <0.05).ALL patients were improved during hospitalization and recovered well.Conclusion The ratio of PTC increased significantly may be related with the diagnosis level markedly improved,the detection rate increased in thyroid microcarcinoma,and ingesting a great deal of iodine.Application of the overall concept of individualized nursing practice is the key to successful operation of thyroid carcinoma.
Keywords:Thyroid carcinoma  Incidence  Clinical  Pathology
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