临床路径管理下的低血钾型周期性瘫痪40例诊治分析  

Diagnosis and treatment of 40 cases of hypokalemic periodic paralysis under the management of clinical pathway

作　　者：李洁[1] 张萍[1] 谢勇[1] 陈洪[1] 冯芹[1] 王淳[1] 

机构地区：[1]德阳市人民医院神经内科,四川德阳618000

出　　处：《四川医学》2013年第1期46-48,共3页Sichuan Medical Journal

摘　　要：目的探讨低血钾型周期性瘫痪的临床特点并对其临床路径的实施情况进行分析。方法对神经内科病房收治的40例低钾周瘫患者的临床特点、临床路径实施情况、诊治经过和费用等进行分析。结果本组40例患者中继发于甲状腺功能亢进症者18例,22例(57.5%)发作有明确的诱因,均行电解质和心电图检查,其中血钾<2.0mmol/L者17例(42.5%),2.0～3.0mmol/L者19例(47.5%),>3.0mmol/L者仅4例(10.0%);ECG检查异常者17例(42.5%)。本组患者中进入临床路径管理者共36例(90.0%),40例患者均在心电监护下予补钾治疗后治愈,平均住院日为(3.3±1.9)d,平均住院费用为(1503.3±811.7)元。结论低血钾型周期性瘫痪临床路径的开展实施,既能保证系统全面的病因学搜索,又能安全、有效、及时地救治患者,值得临床推广。Objective To investigate the clinical features of hypokalemia periodic paralysis and the implementation of ti^e clinical pathway. Methods Data on the 40 patients diagnosed as hypekalemic periodic paralysis in the neurology department were consecutive collected. We explored the clinical features, implementation of clinical pathways, course of treatment and hospitaliza- tion expenses. Results Of the 40 enrolled patients, 18 patients were secondary to hyperthyroidism, .22 cases （57.5%） have a clear predisposing cause before paralysis onset. All cases underwent serum electrolytes detection and ECG. Of the 40 enrolled pa- tients, 36 cases （90. 0% ） recuruited in the clinical pathway of hypokalemic periodic paralysis. Total 40 patients were treaLed with potassium and finally cured, the average hospitalization days was（ 3.3 ±1.9 ）days, the average cost of hospitalization was （ 1503.3 ± 811.7）. Conclusion Clinical pathway applied in the management of patients diagnosed as hypokalemic periodic paralysis in search of different etiology and treatment are worthy of promotion.

关 键 词：低血钾型周期性瘫换 临床路径 

分 类 号：R746.3[医药卫生—神经病学与精神病学]