CAJ | 학술논문

目的：分析原发性醛固酮增多症患者血钾水平的影响因素。方法回顾性分析原发性醛固酮增多症患者82例临床资料，将其分为正常血钾组和低血钾组。探讨原发性醛固酮增多症患者血钾与其血醛固酮、肾素、血管紧张素域及醛固酮肾素活性比值（ARR）的关系。结果原发醛固酮增多症患者血钾与醛固酮肾素活性比值（ARR）有相关性（P<0.05），正常血钾组与低血钾组ARR值差异有统计学意义（P<0.05）。结论在原发性醛固酮增多症患者中，醛固酮肾素活性比值反映其血钾水平。
목적：분석원발성철고동증다증환자혈갑수평적영향인소。방법회고성분석원발성철고동증다증환자82례림상자료，장기분위정상혈갑조화저혈갑조。탐토원발성철고동증다증환자혈갑여기혈철고동、신소、혈관긴장소역급철고동신소활성비치（ARR）적관계。결과원발철고동증다증환자혈갑여철고동신소활성비치（ARR）유상관성（P<0.05），정상혈갑조여저혈갑조ARR치차이유통계학의의（P<0.05）。결론재원발성철고동증다증환자중，철고동신소활성비치반영기혈갑수평。
Objective To analyse the related factors of blood potassium in patients with primary aldosteronism. Meth-ods Clinical date of 82 patients with primary aldosteronism were retrospectively analyzed. They were divided into normal blood potassium group and low blood potassium group, analysed the relationship of blood potassium with serum aldosterone, plasma renin activity, angiotensin II and aldosterone/plasma renin activity ratio (ARR). Results Blood potassium of patients with primary aldosteronism was significantly correlated with aldosterone/plasma renin activity ratio. There was statistical difference in ARR value between normal blood potassium group and low blood potassium group. Conclusion Aldosterone/plasma renin ac-tivity ratio reflects its potassium level in patients with primary aldosteronism.