摘要
目的探讨低钾型周期性瘫痪(HPP)在南方城市农民工中的发病情况、治疗和预防措施。方法采用回顾性调查的方法对住院患者的发病时间、诱发因素、临床症状、发病区域、工作环境、饮用水源、用药及进食情况等进行分析。结果本组共确诊HPP患者138例,城市农民工119例,占86·23%。城市农民工中每年6～9月发病75例,占63·02%。发病主要集中在每年高温、潮湿的夏季。发病区域集中在农民工工作的施工区以及与施工区相关的工棚生活区内。施工区发病21例,占17·65%;生活区发病87例,占73·11%;其他区域发病11例,占9·24%;88例是在潮湿或(和)高温的条件下发病,占73·95%;工作期间大量饮用碳水化合物饮料者27例,占22·69%;19例患者在发病前的数天因咳嗽而大量饮用含糖止咳剂。119例患者平均补钾总量(26·46±9·34)g,全部患者通过足量补钾治疗均取得明显效果,症状消失、血清钾及心电图恢复正常。结论高温、潮湿的工作环境,过度疲劳、饱餐、高糖、受凉是HPP发病的重要诱发因素。及时、足量与足够浓度的补钾治疗是治疗HPP的有效措施。
Objective Exploring the pathogenic event, treatment, and preventive measures of hypokalemic periodic paralysis （HPP） among farmer workers in southern cities in China. Methods A retrospective survey method was performed to analyze factors such as pathogenic time, inducing factors, clinical symptoms, pathogenic regions, regional features, working envlronment, source of drinking water, administration of medicine, food intaking, etc. for hospitalized patients. Results The study group was composed of 138 confirmedly diagnosed cases with HPP, among which 119 patients were farmer workers in cities, accounting for 86.23 %. As for these farmer worker patients, there were 75 patients who had onset of the illness from June to September each year, accounting for 63.02%. Illness onset was concentrated on Summer when the temperature was relatively high and the air was humid. As regards pathogenic regions, they were mainly focused in construction sites where farmer workers worked and living quarters of work sheds associated with the construction sites. There were 21 cases from the construction sites, accounting for 17.65% while there were 87 cases from the living quarters, accounting for 73.11% and the other 9.24% of cases were from other areas. 88 patients had onset of the illness in humid and/or high temperature conditions, accounting for 73.95%. There were 27 patients who drank plenty of carbohydrate drinks in their work, accounting for 22.69%, and 19 patients who administrated plenty of saccharated antitussives several days before the illness due to cough. The averaged total volume of potassium replenishment for the 119 patients was 26.46g ± 9. 34g. All the patients had an obvious curative effect after adequate potassium replenishment treatment, with their symptoms as disappearing and serum potassium and electrocardiogram as recovered normal. Conclusion Factors such as working environment with high temperature and humidity, overfatigue, overeating, high-carbohydrate diets, and catching cold are critical inducing factor
出处
《中国实用神经疾病杂志》
2007年第3期28-31,共4页
Chinese Journal of Practical Nervous Diseases
关键词
低钾血症
周期性瘫痪
农民工
治疗
补钾
Hypokalemia
Periodic paralysis
Farmer workers
Treatment, Potassium replenishment
