论文部分内容阅读
目的探讨小榄地区低钾性麻痹患者临床特征,提高救治水平,避免死亡病例发生。方法回顾分析某院近3年收治的245例低钾性麻痹患者的临床资料。结果本组男女比例39︰10,59.18%(n=145)为原发性周期性麻痹,40.82%(n=100)为继发性周期性麻痹;26.53%(n=65)随机血糖大于7.8mmol/L,53.06%(n=130)患者在夏季发病。劳累过度、饮酒过量、饱食、高温出汗、偏食在单因素分析后的结果差异有统计学意义(P﹤0.05)。结论小榄地区低钾血症以原发为主,劳累、高温出汗是主要诱因,部分病例糖代谢异常,可能提示发病机制、胰岛素功能状态的部分信息。
Objective To investigate the clinical characteristics of patients with hypokalemic paralysis in Siu Lam area, improve the treatment level and avoid the death of patients. Methods The clinical data of 245 patients with hypokalemic paralysis treated in a hospital in recent 3 years were retrospectively analyzed. Results The ratio of males to females in this group was 39:10, 59.18% (n = 145), 40.82% (n = 100) were secondary to periodic paralysis, 26.53% (n = 65) mmol / L, 53.06% (n = 130) patients in the summer onset. Over-exertion, excessive drinking, satiety, high temperature sweating, partial eclipse in univariate analysis showed statistically significant differences (P <0.05). Conclusions Primary hypokalemia in Siu Lam area is predominant, while fatigue and high temperature sweating are the main causes. In some cases, abnormal glucose metabolism may indicate part of the pathogenesis and insulin status.