Graves病致甲状腺机能亢进患者生活质量的药物及医疗效果评价

M. Shah-abadi, M. Heydari, Ehsan Goroei Sardu
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引用次数: 0

摘要

不同的观察性研究和随机试验试图显示手术方法在改善Graves病(GD)引起的甲状腺功能亢进患者生活质量(QOL)方面的优势和局限性。我们的目的是系统地研究手术(甲状腺切除术)对GD患者生活质量不同组成部分的影响。两位审稿人开始深入搜索包括Medline、Web of knowledge、Google Scholar、Scopus和Cochrane Central Register of Controlled Trials (Central)在内的Cochrane Library中已发表文章的各种数据库,根据所考虑的关键词搜索所有符合条件的研究。最终,在2012年至2019年期间发表的七篇文章有资格进行最终分析。采用综合meta分析软件进行分析。使用SF-36工具评估生活质量水平显示,与基线值相比,术后身体成分评分(加权平均差值0.428,p <0.001)和心理成分评分(加权平均差值0.277,p <0.001)均显著增加。采用Thy PRO问卷评估患者的生活质量,术后总生活质量评分较术前有显著提高(加权平均差异为-1.466,p <0.001)。我们发现格雷夫斯病手术后身体和精神方面的生活质量都有显著改善。
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Evaluation of Medicinal and Medical Effects on Quality of Life in Patients with Hyperthyroidism Due to Graves´ Disease
Different observational studies and randomized trials attempted to show advantages as well as limitations of surgical approaches for improvement in patients’ quality of life (QOL) suffering hyperthyroidism caused by the Graves´ disease (GD). We aimed to systematically examine the impact of surgery (thyroidectomy) on different components of QOL in patients with GD. Two reviewers began to deeply search the various databases of article published including Medline, Web of knowledge, Google Scholar, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library for all eligible studies in accordance with the considered keywords. In final, seven articles were eligible for the final analysis that published between 2012 and 2019. The Comprehensive Meta-Analysis Software was employed for analysis. Assessing the level of quality of life using SF-36 tool showed significantly increase in both physical component score (weighted mean differences of 0.428, p <0.001) and psychological component score (weighted mean differences of 0.277, p <0.001) postoperatively compared with the baseline values. The assessment of QOL using the Thy PRO questionnaire also showed significantly improvement in total QOL score after surgery compared with before that (weighted mean differences of -1.466, p <0.001). We revealed considerably improving both physical and mental aspects of QOL following surgery in Graves’ disease.
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