血清钠钾钙镁磷五种离子检查在颅脑损伤中的必要性评价

Evaluation of the Necessity of Serum Sodium,Potassium,Calcium,Magnesium and Phosphorus in Patients with Craniocerebral Injury

目的在颅脑损伤患者中,探讨血清钠钾钙镁磷五种离子相关检查的必要性并对这五种离子进行评价。方法选取苏州市吴江区中医医院2018年1月至2020年12月90例颅脑外伤病人以及50例体检正常人群,按照GCS评分将颅脑外伤病人分为轻中型组以及重型组,体检正常人群为正常组。在不同时间(24h和72h)对病人采集相应标本进行检测,运用离子选择电极法对五种离子的浓度进行检测。对三组病人的血清钠钾钙镁磷五种离子浓度进行对比分析。结果正常组和轻中型组中病人血清钙镁磷离子浓度均高于重型组,轻中型组病人中血清镁离子浓度比正常组低(P<0.05),钠钾离子在不同组、不同时间中均无差异(P>0.05)。结论对于颅脑损伤病人,检查钙镁磷三种离子的浓度,了解其在病程中的变化情况对医师了解病情有重大意义,还有助于医师在病程不同时期制定不同的治疗方案。因此,在颅脑损伤病人治疗过程中,非常有必要检测钙镁磷三种离子的血清浓度,临床价值较高。

Objective In patients with cranial brain injury,the necessity of five ion-related examinations of sodium potassium calcium magnesium phosphorus was discussed and evaluated.Methods From January 2018 to December 2020,90 patients with craniocerebral trauma and 50 healthy people were selected in Wujiang District Hospital of Traditional Chinese Medicine.According to GCS score,the patients with craniocerebral trauma were divided into light to medium group and severe group,and the healthy people were the normal group.At different time(24h and 72h),the corresponding samples of patients were collected for detection,and the concentrations of five ions were detected by ion selective electrode method.The serum concentrations of sodium,potassium,calcium,magnesium and phosphorus were compared among the three groups.Results The serum calcium,magnesium and phosphorus concentrations in the normal group and the light and medium group were higher than those in the severe group,the serum magnesium concentrations in the light and medium group were lower than those in the normal group(P<0.05),and there was no difference in sodium and potassium ions in different groups and at different times(P>0.05).Conclusion For patients with craniocerebral injury,it is of great significance for doctors to check the concentration of calcium,magnesium and phosphorus and understand their changes in the course of the disease.It is also helpful for doctors to make different treatment plans in different periods of the disease.Therefore,in the treatment of patients with craniocerebral injury,it is very necessary to detect the serum concentration of calcium,magnesium and phosphorus,which has high clinical value.