Effects of parathyroid adenectomy on  sleep quality of patients with severe secondary parathyroid hyperthyroidism

doi:10.3969/j.issn.1004-583X.2018.03.007

Abstract

Abstract: Objective The maintenance hemodialysis patients with parathyroidectomy were followed up to investigate the effects of parathyroid adenectomy on the quality of sleep.Methods Sixteen hemodialysis patients were selected for parathyroidectomy due to secondary hyperparathyroidism.Followup was performed one month before and one year after surgery.The changes in Ca， P， and parathyroid hormone were observed before and after surgery.Pittsburgh Sleep Index (PSIQ) was used to assess the quality of sleep before and after surgery.Results One year after parathyroidectomy， the quality of sleep was significantly improved（PSQI 17.48±5.13 vs 3.17±2.63，P<0.05）.The number of patients with bone pain and itchy symptoms also decreased significantly.Blood calcium， phosphorus and iPTH levels also decreased significantly. Conclusion Parathyroid hormone level plays a critical role in the sleep problems of patients with maintenance hemodialysis. Parathyroidectomy can significantly improve the quality of sleep in maintenance hemodialysis patients.It could improve the sleep quality and prognosis of patients， and promote the reintegration of patients with uremia.

Key words: renal dialysis, hyperparathyroidism, secondary, parathyroidectomy, sleep

Du Shutonga， Wang Ziqianga， Ma Weihuaa， Fang Xiaofanga， Li Weidongb. Effects of parathyroid adenectomy on sleep quality of patients with severe secondary parathyroid hyperthyroidism[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2018.03.007.

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URL: http://www.lchc.cn/EN/10.3969/j.issn.1004-583X.2018.03.007

http://www.lchc.cn/EN/Y2018/V33/I3/217

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Effects of parathyroid adenectomy on sleep quality of patients with severe secondary parathyroid hyperthyroidism

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