非酮症糖尿病伴低钾血症35例分析  

Analysis of thirty-five cases of nonketotic diabetes with hypokalemia

作　　者：葛雪莺 许舒婷 肖维琼 顾寒英[2] 

机构地区：[1]上海市黄浦区瑞金二路街道社区卫生服务中心,上海200020 [2]上海市瑞金医院卢湾分院,上海200025

出　　处：《上海医药》2015年第14期32-33,36,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探讨导致非酮症糖尿病患者合并低钾血症的相关因素。方法 :收集2013年12月-2014年7月内科住院非酮症糖尿病合并低钾血症患者35例,测定血钾、空腹血糖、糖化血红蛋白及血肌酐,对患者临床表现进行评分,进行心电图描计,分析血钾水平与各临床因素的相关性。结果 :低血钾与年龄、糖化血红蛋白、利尿剂、胰岛素及限制饮食相关(P<0.05),与糖尿病病程、空腹血糖、血肌酐、临床表现严重程度、心电图变化无关。结论 :非酮症糖尿患者出现低钾血症有多种因素,常因临床症状不典型易被忽略,应定期监测血钾浓度,及时发现,及时纠正。Objective： To explore the related factors which caused the nonketotic diabetic patients with hypokalemia. Methods： From Dec. 2013 to July 2014, 35 cases of the nonketotic diabetic patients with hypokalemia in the internal medicine department of the hospital were collected and their blood potassium, fasting blood glucose, glycosylated hemoglobin and serum creatinine were determined. Their clinical manifestations were scored. The electrocardiogram was traced and the correlation between the serum potassium level and clinical factors analyzed. Results： Hypokalemia was related to the age, glycosylated hemoglobin, diuretics, insulin, restricted diet（P〈0.05）and not related to the duration of diabetes, fasting blood glucose, serum creatinine level, severity of the clinical symptoms, and ECG changes. Conclusion： Appearing hypokalemia in the people with nonketotic diabetes has a variety of factors, and is easily ignored due to the atypical clinical symptoms. The serum potassium concentrations should be regularly monitored, timely found and corrected.

关 键 词：糖尿病 低钾血症 非酮症酸中毒 

分 类 号：R587.2[医药卫生—内分泌]