摘要目的 分析地塞米松等药物在甲状腺功能亢进（甲亢）患者围手术期的应用。方法分析198例围手术期应用地塞米松等药物的应用方法、不良反应和治疗处理。结果 本组术前应用地塞米松后，T3、FT4均较前显著下降(P＜0.05)。其中，15例出现用药后低血钾性四肢麻痹，2例出现甲亢危象前兆，9例术后出现短暂性口唇和四肢麻木，对症处理后均迅速恢复，余均恢复正常。结论 甲亢手术具有较大的难度和危险性，应用地塞米松等药物能缩短术前准备，提高手术成功率，减少术后并发症。

abstractsObjective To explore the effects of steroids for hyperthyroidism management during the perioperative period. Methods 198 cases were analyzed in terms of the perioperative use of steroids such as dexamethasone for hyperthyroidism. Results FT3 and FT4 decreased gradually to the nomal level after use of dexamethasone. 15 cases had hypokalemic limb paralysis, 2 cases had hyperthyroidism crises, 9 cases had transient numbness of mouth, lip and limb, and the rest resumed normal. Conclusions The use of steroids such as dexamethasone for hyperthyroidism can shorten the preoperative preparation time, improve the success rate, and reduce postoperative complications.