甲状腺疾病的放射性核素治疗-培训课件.pptVIP

戒烟很重要 在激素联合131I 治疗期间宜辅以指导患者饮食和生活习惯,尤其告知患者戒烟。 Bartalena L, Baldeschi L, Dickinson A, et al. Consensus statement of the European Group on Graves′ orbitopathy(EUGOGO) on management of GO. Eur J Endocrinol, 2008, 158: 273-285. 2.Pinchera A 1998 Relation between therapy for hyperthyroidism and the course of Graves ophthalmopathy. N Engl J Med. 338:73-78 3.Thyroid-associated ophthalmopathy after treatment for Graves’ hyperthyroidism with antithyroid drugs or iodine-131. J Clin Endocrinol Metab 2009;94:3700-7 一项大型的随机对照研究显示放射碘治疗GD与GO进展的风险升高相关（与ATDs相比RR=5.8），且这种风险能够被糖皮质激素联合治疗抵销2 。 研究提示主动吸烟者接受放射碘治疗后1年