妇科手术后血钾监测及低钾血症影响因素分析

发布时间：2018-05-28 10:51

本文选题：妇科手术 + 血钾　；参考：《中国妇产科临床杂志》2015年06期

【摘要】：目的探讨妇科手术后监测血钾的倾向性及低钾血症的影响因素。方法回顾性分析2012年1月至12月在北京大学第一医院妇科行择期手术的325例住院患者术后低钾血症的临床资料。比较术后监测血钾组与未监测血钾组及低钾血症组与血钾正常组恶性肿瘤、清洁洗肠、开腹手术、是否48 h后进普通饮食(普食)等临床特点。结果术后监测血钾组与未监测血钾组恶性肿瘤、清洁洗肠、开腹手术、48 h后进普食与术后监测血钾相关(r分别为41.262、30.656、28.564、25.270,p均=0.000);多因素分析显示,手术方式、肠道准备类型是妇科手术后是否监测血钾的独立影响因素(OR=2.608,95%CI:1.405~4.839;OR=2.620,95%CI:1.535~4.471)。术后低钾血症组与血钾正常组术后48 h内进普食者与术后低钾血症相关(r=5.525,p=0.030)。结论对恶性肿瘤、清洁洗肠、开腹手术、术后48 h后开始进普食患者,术后应加强监测患者术后血钾情况,对低钾血症者提早采取补钾措施,以保证患者安全。
[Abstract]:Objective to investigate the tendency of blood potassium monitoring and the influencing factors of hypokalemia after gynecological surgery. Methods the clinical data of 325 inpatients with hypokalemia who underwent elective gynecologic surgery in the first Hospital of Peking University from January to December 2012 were analyzed retrospectively. The clinical features of malignant tumor, clean bowel washing, laparotomy, 48 h after operation were compared between the group of monitoring blood potassium and the group of hypokalemia and normal group of blood potassium. Results the correlation r between postoperative monitoring of serum potassium and those of patients with malignant tumor, clean bowel washing, open operation 48 hours after operation and postoperative monitoring of serum potassium were 41.262 ~ 30.656 ~ 28.56425.270 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000, respectively. The type of intestinal preparation was the independent influence factor of monitoring blood potassium after gynecological operation. CI1: 1.405, 4.839, OR 2.620, 95 CI: 1.535 and 4.471. In the hypokalemia group and the normal blood potassium group, there was a correlation between postoperatively hypokalemia and postoperation hypokalemia within 48 hours. Conclusion for malignant tumor, clean bowel washing, open operation, after 48 hours of operation, the patients with common food should be given more attention to monitor the blood potassium status after operation, and the patients with hypokalemia should be given potassium supplementation measures so as to ensure the safety of patients with hypokalemia.
【作者单位】：北京大学第一医院妇产科;北京大学第一医院医学统计室;
【分类号】：R713

【参考文献】