两种补钾方法用于老年危重患者伴低钾血症的效果  

Effects of two methods for potassium supplement on hypokalemia in the elderly patients with severe disease

作　　者：杨海彬 范瑾智 王浩 

机构地区：[1]北京秘水潭医院综合二病房,100035

出　　处：《中华现代护理杂志》2009年第19期1826-1827,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨氯化钾保留灌肠补钾法与静脉补钾法用于老年危重患者伴低钾血症的效果。方法将50例老年危重伴低钾血症患者随机分为两组，每组25例。静脉补钾组通过静脉补钾，灌肠补钾组通过保留灌肠补钾，观察两组补钾的效果和并发症发生情况及所需时间。结果两种方法补钾的效果差异无统计学意义，但静脉补钾组有14例发生疼痛或静脉炎，灌肠补钾组有5例耐受时间较短；静脉补钾组所需时间为8．5～9．5h，灌肠补钾组所需时间为15～20min。结论采用保留灌肠法补钾具有快速、便捷、有效、并发症少的特点，其效果与静脉补钾法相同。Objective Our study is to analyse the effect of potassium supplement by clyster of potassium chloride on hypokalemia in the elderly with severe disease, compared with intravenous potassium supplement. Methods 50 ehterly patients with severe disease and hypokalemia admitted to our hospital were equally divided into two groups by random, with 25 patients in each group- intravenous infusion group and clyster group. The patients in intravenous potassium supplement were supplied with potassium chloride by intravenous infusion and those in clyster of potassium chloride were supplied with potassium chloride by clyster. The effects and the occurrences of complexition and the time for showing them were observed in the two groups. Results There was no significant difference between two methods for potassium supplement. But, in intravenous potassium supplement group, 14 cases had the occurrences of pains or phlebitis, and in clyster group, 5 cases exhibited a shorter tolerancing time. The time for intravenous potassium supplement group is 8.5 to 9.5 hours, and the time for clyster group is 15 to 20 minutes. Conclusions Potassium supplement by clyster has the characteristics of being quick, convenient, and effective and having a few of complexitions, showing a same effect to intravenous potassium supplement.

关 键 词：灌肠 输注 静脉内 老年人 危重病 低钾血症 

分 类 号：R473[医药卫生—护理学]