住院精神患者电解质异常原因分析
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摘要
目的探讨住院精神患者电解质异常的原因及影响因素,尤其是低钾现象的发生规律,为临床治疗与预防患者低钾现象的发生提供依据。方法选取本院2017年8月至2018年3月收治的300例精神患者为研究对象,采用离子选择电极法定期测定患者清晨及随时电解质浓度,对异常结果的患者进行分组统计分析,得到各组间的差异,总结出相应结论。结果 300例住院精神患者发生低血钾的有63例,低血钾的发生率为21%,伴发低血钾的原因与所使用的抗精神病药物、病种、住院时间、住院季节(春、夏、秋、冬)、年龄等因素有关,与性别无关。结论住院精神患者易伴发电解质异常,尤其是低血钾,因此,除了需要采取相应措施进行预防外,定期的进行电解质检测,对早期发现异常和及时治疗也是十分重要的。
Objective To investigate the causes and influencing factors of electrolyte abnormalities in hospitalized mental patients, especially the occurrence of hypokalemia, and provide evidence for clinical treatment and prevention of hypokalemia in patients. Methods A total of 300 psychiatric patients admitted to our hospital from August 2017 to March 2018 were selected as subjects. The ion-selective electrode method was used to periodically measure the electrolyte concentration in the morning and at any time. The patients with abnormal results were analyzed by group analysis.The differences are summarized in the corresponding conclusions. Results Of the 300 hospitalized psychiatric patients, 63 had hypokalemia, and the incidence of hypokalemia was 21%. The cause of hypokalemia was associated with antipsychotic drugs, disease types, hospital stay, and hospitalization season., summer, autumn, winter), age and other factors, have nothing to do with gender. Conclusion Inpatients with mental disorders are prone to electrolyte abnormalities, especially hypokalemia. Therefore, in addition to the need to take appropriate measures for prevention, regular electrolyte testing is also important for early detection of abnormalities and timely treatment.
Objective To investigate the causes and influencing factors of electrolyte abnormalities in hospitalized mental patients, especially the occurrence of hypokalemia, and provide evidence for clinical treatment and prevention of hypokalemia in patients. Methods A total of 300 psychiatric patients admitted to our hospital from August 2017 to March 2018 were selected as subjects. The ion-selective electrode method was used to periodically measure the electrolyte concentration in the morning and at any time. The patients with abnormal results were analyzed by group analysis.The differences are summarized in the corresponding conclusions. Results Of the 300 hospitalized psychiatric patients, 63 had hypokalemia, and the incidence of hypokalemia was 21%. The cause of hypokalemia was associated with antipsychotic drugs, disease types, hospital stay, and hospitalization season., summer, autumn, winter), age and other factors, have nothing to do with gender. Conclusion Inpatients with mental disorders are prone to electrolyte abnormalities, especially hypokalemia. Therefore, in addition to the need to take appropriate measures for prevention, regular electrolyte testing is also important for early detection of abnormalities and timely treatment.
引文
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[9]梁军,张向阳.住院精神分裂症患者抗精神病药联合使用合理性的病例分析[J].中国心理卫生杂志,2015,29(1):47-52.
[10]刘小敏.长期住院精神分裂症患者发生低钾血症的临床分析[J].深圳中西医结合杂志,2016,26(1):37-39.
[2] Hermanns-Clausen M, Kneisel S, Szabo B, et al.Acute toxicity due to the confirmed consumption of synthetic cannabinoids:clinical and laboratory findings[J]. Addiction, 2013,108(3):534-544.
[3]王志英,卢宁,张海斌,等.CCMD-3人格障碍筛查问卷信、效度检验[J].中国临床心理学杂志,2010,18(6):711-713,722.
[4]邓若尘.全自动生化仪和电解质仪测定血清钾和钠的方法学比较[J].检验医学与临床,2012,9(22):2827-2829.
[5]史美君,侯言彬.老年精神病患者低血钾症的原因分析与对策[J].护理与康复,2012,11(1):15-18.
[6]王雪梅,王会秋,赵成清,等.28例长期住院精神分裂症患者发生低钾血症的临床分析[J].临床精神医学杂志,2010,20(2):99-101.
[7]董秀凤,杨岩红,马希祥.抗精神病药物引起血清钾降低与心电图低钾改变的对照研究[J].中国民康医学,2003,11(8):476-477.
[8]陈小寒,柯晓英,刘秀云,等.70例住院精神病患者并发低钾血症的观察与护理[J].中国当代医药,2012,19(12):99,101.
[9]梁军,张向阳.住院精神分裂症患者抗精神病药联合使用合理性的病例分析[J].中国心理卫生杂志,2015,29(1):47-52.
[10]刘小敏.长期住院精神分裂症患者发生低钾血症的临床分析[J].深圳中西医结合杂志,2016,26(1):37-39.