慢性阻塞性肺疾病急性加重期使用激素治疗与低血钾的关系分析

目的 探讨慢性阻塞性肺疾病(COPD)患者在病情加重时使用激素治疗与低血钾的关系.方法 回顾性分析73例COPD急性加重期使用激素治疗患者,按体重指数(BMI)进行分类比较,了解其与低血钾的关系.结果 超重患者低血钾发生率为31%, 不超重患者为6%,经χ2检验P＜0.05.结论 超重患者出现低血钾的机会较大,应多监测,及时补充和纠正,避免严重心律失常事件的发生.

Relationship between glucocorticosteroid therapy on acute exacerbation chronic obstructive pulmonary disease and hypokalemic

ObjectiveNow there is a growing tendency in the glucocorticosteroid therapy on acute exacerbation chronic obstructive pulmonary disease(AECOPD),most patients will have some positive effects,but more attention should be paid to its side effects when increasing application of glucocorticosteroid therapy.Among the total,arrhythmia caused by hypokalemic is much hazardous,so it is necessary to study the relationship between glucocorticosteroid therapy and hypokalemic.MethodsRetrospectively analysed of 73 patients being treated with glucocorticosteroid on AECOPD,sorting comparison by body mass index(BMI),and studied the relationship with hypokalemic.ResultsThe incidence rate of hypokalemic in overweight patients was 31%,the incidence rate in non-overweight patients was 6%,statistics method: chi-square P<0.05.ConclusionThe overweight patients' incidence rate of hypokalemic is higher than others,so it is necessary to be monitored more,remedied and corrected in time,to avoid serious arrhythmia incident happening.