甲状腺功能亢进性周期性瘫痪38例临床分析

摘要

Objective To investigate the clinical features and treatment methods of hyperthyroid periodic paralysis. Methods The clinical data of 38 cases of hyperthyroidism periodic paralysis were retrospectively analyzed, including predis-posing factors, clinical manifestations, diagnosis, treatment, clinical efficacy, etc.Results Meal was the main cause of hy-perthyroidism periodic paralysis(42.11%);the rate of first diagnosed hyperthyroid periodic paralysis only was 55.26%, the misdiagnosis rate was 44.74%(P>0.05);clinical total efficiency(100.00%) and inefficiency(0.00%) comparing the re-sults were significant(P<0.05).Conclusions Clinicians should accurately grasp hyperthyroid clinical features of periodic paralysis, suspected cases should be promptly given to the clinical examination diagnosed the disease, giving a positive potassium and symptomatic therapy to protect patients, guidance prescribed continuous medication therapy to improve its prognosis of patients after discharge.%目的：探讨甲状腺功能亢进性周期性瘫痪临床特点及诊治方法。方法对38例甲状腺功能亢进性周期性瘫痪患者临床资料进行回顾性分析，内容包括发病诱因、临床表现、诊断结果、治疗方法、临床疗效等。结果饱餐是其发生甲状腺功能亢进性周期性瘫痪的主要诱因（42．11％）；首诊甲状腺功能亢进性周期性瘫痪率仅为55．26％，误诊率高达44．74％（P＞0．05）；临床治疗总有效率（100．00％）与无效率（0．00％）比较差异有统计学意义（ P＜0．05）。结论临床医生应准确掌握甲状腺功能亢进性周期性瘫痪临床特征，发现疑似病例应及时给予各项临床检查确诊病情，给予积极的补钾及对症治疗，保障患者疗效，指导患者出院后遵医嘱连续用药治疗，提高其预后效果。