分化型甲状腺癌患者放射性 131I治疗前低碘饮食的研究进展

doi:10.3761/j.issn.0254-1769.2020.07.028

摘要/Abstract

摘要：

分化型甲状腺癌放射性 ¹³¹I治疗前要进行低碘饮食,可以降低血浆碘浓度、提高钠碘转运体的表达,提高残余甲状腺组织或转移灶的摄碘率,从而提高放射性 ¹³¹I治疗的成功率。该文对低碘饮食进行综述,包括低碘饮食的碘摄入量及评价标准、持续时间及膳食指南、依从性的影响因素、不良反应等,旨在为构建统一、规范、切实可行的分化型甲状腺癌放射性 ¹³¹I治疗前低碘饮食方案提供参考。

关键词: 低碘饮食, 甲状腺癌, 放射性 ¹³¹I治疗, 综述, 护理

Key words: Low Iodine Diet, Differentiated Thyroid Cancer, Radioactive Iodine Abaltion, Review, Nursing Care

张业芳, 成钊汀, 秦春元. 分化型甲状腺癌患者放射性 ¹³¹I治疗前低碘饮食的研究进展[J]. 中华护理杂志, 2020, 55(7): 1107-1110.

参考文献 37

[1]	Haugen BR, Alexander EK, Bible KC , et al. 2015 American thy-roid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer:the American thyroid association guidelines task force on thyriod nodules and differentiated thyroid cancer[J]. Thyroid, 2016,26(1), 1-133. URL PMID
[2]	Christine S, John CM . The sodium iodide symporter:its pathophysiological and therapeutic implications[J]. Clin Endocrinol, 2002,57(5):559-74.
[3]	易于颦, 朱玉泉, 段东 , 等. 分化型甲状腺癌患者碘-131治疗后大量饮水开始时间的研究[J]. 中华护理杂志, 2018,53(1):8-11.
[4]	Maurice JHMP, Carmen ER, Bernard MG , et al. Effects of low-iodide diet on postsurgical radioiodide ablation therapy in patients with differentiated thyroid carcinoma[J]. Clin Endocrinol, 2003,58(4):428-35.
[5]	范素云, 贾彦彦, 施雁 . 同伴教育对甲状腺癌患者术后服用放射性131I治疗效果的影响[J]. 中华护理杂志, 2017,52(3):285-288.
[6]	Stephanie LL . Radioactive iodine therapy[J]. Curr Opin Endocrinol Diabetes Obes, 2012,19(5):420-428. URL PMID
[7]	Anna MS, Irada Ibrahim-Zada, Philip G , et al. Dietary iodine restriction in preparation for radioactive iodine treatment or scanning in well-differentiated thyroid cancer:a systematic review[J]. Thyroid, 2010,20(10):1129-1138. URL PMID
[8]	谭建, 蒋宁一, 李林 , 等. ¹³¹I治疗分化型甲状腺癌指南 [J]. 中华核医学与分子影像杂志, 2014,34(4):264-278.
[9]	Yi KH, Park YJ, Koong SS , et al. Revised Korean thyroid association management guidelines for patients with thyroid nodules and thyroid cancer[J]. J Korean Soc Radiol, 2011,64:389-416.
[10]	Joel TP, James VH . Two-week low iodine diet is necessary for adequate outpatient preparation for radioiodine rhTSH scanning in patients taking levothyroxine[J]. Thyroid, 2004,14(1):57-63. DOI URL
[11]	Josephine HL, Zhiheng HH, Vivek B , et al. Low iodine diet in differentiated thyroid cancer:a review[J]. Clin Endoc-rinol, 2016,84(1):3-12.
[12]	Petros P, Kristien B, Steve C , et al. Guidelines for the management of thyroid cancer[J]. Clin Endocrinol, 2014,81(Suppl 1):121-122.
[13]	Pacini F, Schlumberger M, Dralle H , et al. European consensus on the management of patients with differentiated carcinoma of the thyroid from follicular epithelium[J]. Vestn Khir Im II Grek, 2008,167(1):52-56.
[14]	Zubair B, Pierre C, Bernard CD , et al. Laboratory medicine prac-tice guidelines. Laboratory support for the diagnosis and monitoring of thyroid disease[J]. Thyroid, 2003,13(1):123-126.
[15]	Luster M, Clarke SE, Dietlein M , et al. Guidelines for radioiodine therapy of differentiated thyroid cancer[J]. Eur J Nucl Med Mol Imaging, 2008,35(10):1941-1959. URL PMID
[16]	Liu WD, Zhang P, Zhao X , et al. Consistent iodine status assessment in Chinese adults by different spot urinary iodine concentrations in a day together with corresponding correction coefficients[J]. J Am Coll Nutr, 2019: 1-8. DOI URL PMID
[17]	Pernille V, Nils K, Hans P , et al. Estimation of iodine intake from various urinary iodine measurements in population studies[J]. Thyroid, 2009,19(11):1281-1286. URL PMID
[18]	Hee KK, Soo YL, JI IL , et al. Usefulness of iodine/creatinine ratio from spot-urine samples to evaluate the effectiveness of low-iodine diet preparation for radioiodine therapy[J]. Clin Endocrinol, 2010,73(1):114-118.
[19]	Chisato T, Takashi U, Yuuki T , et al. Reeva-luation of stringent low iodine diet in outpatient preparation for radioiodine examination and therapy[J]. Endocr J, 2005,52(2):237-240. DOI URL PMID
[20]	Robin J, Prestwich, Georgina E. Comprehensive handbook of iodine[M]. New York: Academic Press, 2009: 957-964.
[21]	Moon JA, Yoo CH, Kim MH , et al. Knowledge,self-efficacy,and perceived barriers on the low-iodine diet among thyroid cancer patients preparing for radioactive iodine therapy[J]. Clin Nutr Res, 2012,1(1):13-22. URL PMID
[22]	Sang-Wook K, Zeng ZY, Cho RL , et al. Pattern of urine iodine excretion with low iodine diet during preparation for radioactive iodine ablation in patients with thyroid cancer[J]. Head Neck, 2019,41(2):381-387. DOI URL PMID
[23]	Minkyung L, YU KL, Tae JJ , et al. Low iodine diet for one week is suffient for adequate preparation of high dose radioactive iodine ablation therapy of differentiated thyroid cancer patients in iodine-rich areas[J]. Thyriod, 2014; 24(8):1289-1296.
[24]	Jae HC . Low iodine diet for preparation for radioactive iodine therapy in differentiated thyroid carcinoma in Korea[J]. Endocrinol Metab, 2013,28:157-163.
[25]	Eveline PM, Roberta V, Tania WF , et al. Two weeks of a low-iodine diet are equivalent to 3 weeks for lowering urinary iodine and increasing thyroid radioactive iodine uptake[J]. Thyroid, 2011,21(1):61-67. DOI URL PMID
[26]	Dal LJ, Young JP, Hee-Young P , et al. Dietary evaluation of a low-iodine diet in Korea thyroid cancer patients preparing for radioactive iodine therapy in an iodine-rich region[J]. Nutr Res Pract, 2016,10(2):167-174. DOI URL PMID
[27]	IK DY, Sung HK, Ye YS , et al. The success rate of initial ¹³¹I ablation in differentiated thyroid cancer:comparison between less strict and very strict low iodine diets [J]. Nucl Med Mol Imaging, 2012,46:34-40. DOI URL PMID
[28]	Soo YK, Jung MP, Jae PH . Analysis of iodine content in salts and Korean sauces for low-iodine diet education in Korean patients with thyroid cancer preparing for radioiodine therapy[J]. Nucl Med Mol Imaging, 2018,52(3):229-233. DOI URL PMID
[29]	Lee H, Min H . Iodine intake and tolerable upper intake level of iodine for Koreans[J]. Korean J Nutr, 2011,44:82-91.
[30]	Mika T, Kunihiro N, Reiko T , et al. Efficacy of dietitian-instructed low iodine diet for radioiodine remnant tissue ablation for thyroid cancer[J]. Kaku Igaku, 2016,53(1):53-60. DOI URL PMID
[31]	Prestwich RJ, Gerrard GE . Low-iodine diet before radioiodine uptake scans or therapy-flawed advice to U.K. patients[J]. Clin Oncol, 2005,17(2):73-74.
[32]	Kyem JL, Sung OC, Kwang YJ . Experiences with a low iodine diet:a qualitative study of patients with thyroid cancer receiving radioactive iodine therapy[J]. Eur J Oncol Nurs, 2016,23:43-50. DOI URL PMID
[33]	Seung KK, Gi Y, KI HK , et al. Severe hyponatremia following radioactive iodine therapy in patients with differentiated thyroid cancer[J]. Thyroid, 2014,24(4):773-777. DOI URL PMID
[34]	Tsukasa N, Yuri Y, Masumi O , et al. Severe hyponatremia in association with I(131)therapy in a patient with metastatic thyroid cancer[J]. Intern Med(Tokyo,Jpn), 2011,50(19):2169-2174.
[35]	Jung EL, Seung KK, Kyung HH , et al. Risk factors for developing hyponatremia in thyroid cancer patients undergoing radioactive iodine therapy[J]. PloS one, 2014,9(8):e106840. DOI URL PMID
[36]	Shakir MK, Krook LS, Schraml FV , et al. Symptomatic hyponatremia in association with a low-iodine diet and levothyroxine withdrawal prior to I131 in patients with metastatic thyroid carcinoma[J]. Thyroid, 2008,18(7):787-792. DOI URL PMID
[37]	Jahae K, Sang-Geon C, Sae-Ryung K , et al. Preparation for radioactive iodine therapy is not a risk factor for the development of hyponatremia in thyroid cancer patients[J]. Medicine, 2017,96(5):e6004. DOI URL PMID

分化型甲状腺癌患者放射性 ¹³¹I治疗前低碘饮食的研究进展

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