泼尼松联合丙硫氧嘧啶治疗甲状腺功能亢进症的效果

目的 探讨泼尼松联合丙硫氧嘧啶治疗甲状腺功能亢进症的效果.方法 选择2019-01至2021-06解放军总医院第三医学中心收治的甲状腺功能亢进症患者80例,按照随机数字表法随机分为对照组与观察组,每组40例.对照组采用丙硫氧嘧啶治疗,口服,3次/d,每次20 mg.观察组采用丙硫氧嘧啶联合泼尼松治疗,丙硫氧嘧啶给药方法...

Efficacy of prednisone plus propylthiouracil in treatment of hyperthyroidism

Objective To explore the efficacy of prednisone plus propylthiouracil in the treatment of hyperthyroidism.Methods Eighty patients with hyperthyroidism admitted to our hospital from January 2019 to June 2021 were selected as the research objects, and randomly divided into the control group and the observation group with 40 cases in each group according to the random number table method. The control group was treated with propylthiouracil, while the observation group was treated with propylthiouracil combined with prednisone. The total effective rate, calcium and phosphorus metabolism index, serum hormone level, quality of life score, liver and kidney function index and incidence of adverse reactions were compared between the two groups.Results The total effective rates of observation group and control group were 97.50% and 85.00% respectively, and the total effective rate of observation group was higher than that of control group (P<0.05). After treatment, the levels of blood calcium and phosphorus in the observation group were (1.95±0.20) mmol/L and (1.20±0.29) mmol/L respectively, which were lower than those in the control group (P<0.05). After treatment, the parathyroid hormone, free triodothyronine and free thyroxine in the observation group were (230.37±74.92) pg/ml, (12.86±3.57) pmol/L and (17.92±5.73) pmol/L respectively, which were lower than those in the control group (P<0.05), and the thyroid stimulating hormone in the observation group was (2.04±0.55) mU/L, which was higher than that in the control group (P<0.05). After treatment, the scores of physiology, psychology, environment and social relations in the quality of life in the observation group were (85.07±6.29), (84.98±5.97), (84.05±6.48) and (85.16±6.73) respectively, which were higher than those in the control group (P<0.05).Conclusions Prednisone combined with propylthiouracil has a good therapeutic effect on hyperthyroidism, which can effectively improve patients' thyroid function, correct the disorder of calcium and phosphorus metabolism and improve their quality of life. Moreover, the combined use of prednisone causes no obvious damage to patients' liver and kidney functions, and is characterized by good medication safety and few adverse reactions.