20第2卷第10期2023年5月Vol.2No.10May.2023科技与健康TechnologyandHealth经口腔前庭入路术式对甲状腺癌患者围术期指标及甲状旁腺功能的影响研究赵玮(贵州省人民医院,贵州贵阳550002)摘要:为探讨经口腔前庭入路术式对甲状腺癌患者围术期指标及甲状旁腺功能的影响,选取2021年1月—2023年1月贵州省人民医院收治的80例甲状腺癌患者作为研究对象,按照收治顺序和患者对美观程度的需求将其平均分为对照组和实验组,每组各40例。对照组行传统开放手术,实验组行经口腔前庭入路术。比较两组患者围术期相关指标、不同时间段甲状旁腺功能、手术前后外周静脉血中C反应蛋白(CRP)、皮质醇(Cor)水平,并发症发生率和美观满意度。结果显示,手术后,实验组血钙与PTH浓度均高于对照组(P<0.05),CRP、Cor浓度均低于对照组(P<0.05),实验组患者并发症发生率低于对照组(P<0.05),美观满意度高于对照组(P<0.05)。研究发现,经口腔前庭入路术式可降低手术对患者甲状旁腺的损伤,减少手术对机体的创伤性刺激和并发症,可加快患者康复进程,值得推广应用。关键词:甲状腺癌;经口腔前庭入路术;围术期指标;甲状旁腺功能中图分类号:R736.1文献标识码:ATheEffectofOralVestibularApproachonPerioperativeIndicatorsandParathyroidFunctioninPatientswithThyroidCancerZhaoWei(GuizhouProvincialPeople‘sHospital,Guiyang,Guizhou550002)Abstract:Exploretheeffectoforalvestibularapproachonperioperativeindicatorsandparathyroidfunctioninpatientswiththyroidcancer.80thyroidcancerpatientsadmittedtoGuizhouProvincialPeople‘sHospitalfromJanuary2021toJanuary2023wereselectedastheresearchsubjects.Theywereevenlydividedintotwogroupsaccordingtotheorderofadmissionandthepatients‘needsforaestheticappearance,namelythecontrolgroupandtheexperimentalgroup,with40patientsineachgroup.Thecontrolgroupunderwenttraditionalopensurgery,whiletheexperimentalgroupunderwenttransoralvestibularapproachsurgery.Compareperioperativerelatedindicators,parathyroidfunctionatdifferenttimeperiods,levelsofC-reactiveprotein(CRP)andcortisol(Cor)inperipheralvenousbloodbeforeandaftersurgery,incidenceofcomplications,andaestheticsatisfactionbetweentwogroupsofpatients.Theresultsshowedthataftersurgery,thebloodcalciumandP...