摘要
目的探讨低钾血症患者行胫骨高位截骨术(HTO)术前口服+静脉补钾的可行性及初步疗效。方法回顾性分析2016年1—12月在唐山市第二医院行HTO的152例符合标准的低钾血症患者,其中观察组73例,采用口服+静脉补钾方法治疗,对照组79例,采用静脉补钾方法治疗,比较二组患者不同时段血钾浓度的变化,对比不同补钾方法的治疗效果。结果二组患者一般临床资料差异无统计学意义(P>0.05)。观察组患者在补钾后4h、12h血钾浓度明显优于对照组,二组差异有统计学意义(P<0.05),观察组患者的不良反应发生率明显低于对照组患者,二组差异有统计学意义(P<0.05)。结论低钾血症患者术前口服+静脉补钾,能够快速、安全的恢复血钾浓度,达到手术治疗的要求且减少了不良反应的发生,治疗效果满意,有一定的临床推广价值。
Objective To investigate the feasibility and preliminary effect of oral and intravenous potassium supplement in patients with hypokalemia before high tibial osteotomy （HTO）.Methods A retrospectivelyin- vestigation of 152 patients with hypokalemia underwent HTO in author＇s hospital during January 2016 to De- cember 2016 was performed.Seventy- three patients in observation group were treated with oral and intrave- nous potassium supplement, while the otherseventy- nine patients in control group were treated with intrave- nous potassium supplement.The changes of serum potassium concentration were compared between the two groups at different time periods, and the therapeutic effects of different potassium supplement methods were compared in two groups.Results There was no significant difference in general clinical data between the two groups（P〉0.05）.The potassium concentration of 4h and 12h in the observation group was significantly better than that in the control group; there was significant difference between the two groups （P〈0.05）.The inci- dence rate of adverse reactions in the observation group was significantly lower than that in the control group; the difference between the two groups was statistically significant （P〈0.05）.Conclusion Patients with hy- pokalemia who treated by oral and intravenous potassium supplement are able to quickly and safely restore the blood potassium concentration.It can achieve the operation reactions.Its treatment effect is satisfactory and has certain clinical value.
出处
《中国煤炭工业医学杂志》
2017年第8期897-900,共4页
Chinese Journal of Coal Industry Medicine
基金
河北省卫计委医学科学研究重点课题项目(编号:20160813)
关键词
低钾血症
胫骨高位截骨
补钾
围术期
Hypokalemia
High tibial osteotomy
Potassium supplement
Perioperative period
