中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
99-99,101
,共2页
低钾型周期性麻痹%血清钾浓度%心电图改变
低鉀型週期性痳痺%血清鉀濃度%心電圖改變
저갑형주기성마비%혈청갑농도%심전도개변
Hypokalemic periodic paralysis%Serum potassium concentration%Electrocardiogram change
目的：探讨低钾型周期性麻痹血清钾浓度与心电图改变的关系。方法：2010年7月-2014年7月收治低钾型周期性麻痹患者300例，对照与分析其血清钾浓度与心电图改变。结果：血清钾准确率67.3%，心电图准确率89.3%，差异有统计学意义(P＜0.05)；血清钾浓度3.0～3.5 mmol/L、2.5～2.9 mmol/L、2.0～2.4 mmol/L 以及＜2.0 mmol/L 的心电图改变发生率分别为100.0%、93.7%、77.7%、61.6%，由此可见，心电图低血钾改变发生率与血清钾浓度之间存在负相关关系。结论：心电图测定低血钾准确度更高，且患者体内血清钾浓度与心电图改变存在负相关关系。
目的：探討低鉀型週期性痳痺血清鉀濃度與心電圖改變的關繫。方法：2010年7月-2014年7月收治低鉀型週期性痳痺患者300例，對照與分析其血清鉀濃度與心電圖改變。結果：血清鉀準確率67.3%，心電圖準確率89.3%，差異有統計學意義(P＜0.05)；血清鉀濃度3.0～3.5 mmol/L、2.5～2.9 mmol/L、2.0～2.4 mmol/L 以及＜2.0 mmol/L 的心電圖改變髮生率分彆為100.0%、93.7%、77.7%、61.6%，由此可見，心電圖低血鉀改變髮生率與血清鉀濃度之間存在負相關關繫。結論：心電圖測定低血鉀準確度更高，且患者體內血清鉀濃度與心電圖改變存在負相關關繫。
목적：탐토저갑형주기성마비혈청갑농도여심전도개변적관계。방법：2010년7월-2014년7월수치저갑형주기성마비환자300례，대조여분석기혈청갑농도여심전도개변。결과：혈청갑준학솔67.3%，심전도준학솔89.3%，차이유통계학의의(P＜0.05)；혈청갑농도3.0～3.5 mmol/L、2.5～2.9 mmol/L、2.0～2.4 mmol/L 이급＜2.0 mmol/L 적심전도개변발생솔분별위100.0%、93.7%、77.7%、61.6%，유차가견，심전도저혈갑개변발생솔여혈청갑농도지간존재부상관관계。결론：심전도측정저혈갑준학도경고，차환자체내혈청갑농도여심전도개변존재부상관관계。
Objective:To explore the relationship between serum potassium concentration and electrocardiogram change of hypokalemic periodic paralysis.Methods:300 patients with hypokalemic periodic paralysis were selected from July 2010 to July 2014.The serum potassium concentration and electrocardiogram change were compared and analyzed.Results:The accuracy rate of serum potassium was 67.3%;the accuracy rate of electrocardiogram was 89.3%;the difference was statistically significant(P<0.05).The serum potassium concentration was 3.0~3.5 mmol/L,2.5~2.9 mmol/L,2.0~2.4 mmol/L and less than 2.0 mmol/L;the incidence rate of electrocardiogram change was 100.0%,93.7%,77.7%,61.6%,so there was a negative correlation between the incidence rate of electrocardiogram hypokalemia change and serum potassium concentration.Conclusion:The electrocardiogram determination of hypokalemia has higher accuracy rate,and serum potassium concentration and electrocardiogram change of patients have a negative correlation.
