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目的评价131I治疗甲状腺功能亢进(甲亢)的效果并了解患者对治疗后疾病转归的认知情况。方法采用电话联系患者或其家属的方式对320例131I治疗>1年但<2年的甲亢患者进行随访,对131I治疗的效果进行评价,并了解1次治疗未愈的患者对2次治疗的知晓情况,以及治疗后出现甲减的患者对甲减的症状和体征的认识与治疗情况。结果 320例患者经1次131I治疗后,治愈79例(占26.69%),好转71例(占22.19%),复发4例(占1.25%),无效5例(1.56%),甲减161例(占50.31%);在所有经1次治疗未愈的90例患者中,18例不知道可以进行第2次131I治疗;38例未按医嘱定期门诊随访的甲减患者中,7例对甲减控制不满意,另有8例患者有明显的甲减症状但未及时就诊。结论 131I治疗甲亢疗效确切、安全、经济,随访对于1次治疗未愈的患者和治疗后甲减患者的进一步诊治具有重要意义。
Objective To evaluate the efficacy of 131I in the treatment of hyperthyroidism (Hyperthyroidism) and to understand the patients’ cognitive status after treatment. METHODS: Totally 320 patients with hyperthyroidism who underwent 131I for 1 year but less than 2 years were followed up by telephone to evaluate the effect of 131I and to understand the effect of 1 treatment on patients who were treated twice Awareness of the situation, and hypothyroidism after treatment of hypothyroidism in patients with symptoms and signs of awareness and treatment. Results After treatment with 131I, 320 cases were cured, accounting for 26.69%, improved in 71 cases (22.19%), recurrence in 4 cases (1.25%), ineffective in 5 cases (1.56%) and hypothyroidism in 161 cases (50.31%). Among the 90 patients who failed to heal after one treatment, 18 patients did not know that the second 131I treatment was possible. Of the 38 hypothyroidism patients who did not follow the doctor’s regular follow-up, 7 Less control is not satisfied, and another 8 patients had obvious symptoms of hypothyroidism but not timely treatment. Conclusions 131I treatment of hyperthyroidism is effective, safe, economical and follow-up is of great significance for the further diagnosis and treatment of patients who have not recovered from primary treatment and hypothyroidism after treatment.