低钾型周期性瘫痪78例治疗体会

Clinical experienct in the treatment of 78 cases hypoklaemic pariodic parallysis

目的:探讨低钾型周期性瘫痪(HOPP)患者的补钾治疗。方法:将78例低钾型周期性瘫痪的患者随机分为两组,治疗组44例给予口服补钾,对照组34例给予静脉补钾,分析血钾的浓度和和临床症状。结果:治疗组HOPP患者与对照组6小时血钾浓度差异经统计学处理有非常显著意义(P<0.01),12小时血钾浓度差异有显著意义(P<0.05)。两组血清钾浓度恢复正常时间差异也有非常显著性P<0.01。结论:HOPP口服补钾较静脉补钾有效、快速、安全,值得临床推广使用。

Objective：To investigate the sylvite supplementary treatment methods of hypokalemicperiodic paraysis （HOPP）.Methods： 78 patients with HOPP were randomly divided into two groups.The treatment group （n=44） was given potassium orally and the control group （n=34） was given potassium thorough the vein.The concentraion of serum potassium and clinical symptoms were analysed.Results：According to the statistics,the difference of the serum potassium concentration of the patients between the treatment group and the control group in 6 hours was remarkably significant （P〈0.01）,and the difference in serum potassium concentration in 12 hours was significant （P〈0.05）.The time was quite different that the serum potassium concentration restored to nornal between two groups（P〈0.01）.Conclusion：The curative effect of o- ral potassium in patients with HOPP is more effective,quicker and safer than that of intravenous drip.h can be recomment for clinic.