脊髓损伤患者体温与电解质变化的关系分析  

Relationship between Temperature and Change of Serum Electrolytes in Patients with Spinal Cord Injury

作　　者：卢虎英[1,2] 李鹏锟[3] 陈爽[3] 刘兰群[1,2] 陈洪雷[1,2] 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院中医康复科,北京市100068 [3]中国康复研究中心北京博爱医院病案统计室,北京市100068

出　　处：《中国康复理论与实践》2013年第11期1080-1081,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察脊髓损伤患者体温与血电解质(钾、钠、氯、钙)水平之间的关系。方法从本院住院病例中收集321例发热脊髓损伤患者作为发热组,另外收集313例正常体温脊髓损伤患者作为对照组,对两组血钾、钠、氯、钙水平分别进行差异性检验与相关性分析。结果发热组与对照组血钾水平无显著性差异(P>0.05),而血钠、氯、钙水平下降(P<0.05)。相关性分析显示,除血钾水平与体温无关外,血钠、氯、钙水平与体温均呈负相关。结论脊髓损伤患者发热后血钾水平变化不显著,而血钠、氯、钙水平明显下降。Objective To explore the relationship between temperature and change of serum electrolytes （potassium, natrium, chlorine, and calcium） in patients with spinal cord injury. Methods 321 patients with spinal cord injury （SCI） following fever were regarded as obser-vation group, while 313 SCI patients in normal temperature as control group. The level of serum electrolytes （potassium, natrium, chlorine, and calcium） in both groups was analyzed. Results There was no significant difference in the level of serum potassium （P〉0.05）, but was in the serum natrium, chlorine, and calcium （P〈0.05） between 2 groups. The level of serum potassium didn＇t correlated with their temperature, and the level of serum natrium, chlorine, and calcium correlated with the temperature negatively. Conclusion The level of serum natrium, chlorine, and calcium may decrease in SCI patients following fever while the level of serum natrium is unchanged.

关 键 词：脊髓损伤 发热 体温 电解质 

分 类 号：R651.2[医药卫生—外科学]