某院住院精神病患者低血钾回顾分析及对策

Retrospective Analysis of Hypokalaemia in Psychotic Inpatients and Strategy

回顾调查9年来安康医院住院精神病患者中低血钾的发生特点,共有191例低血钾患者,发生率4.6%,其中中老年人是发生低血钾的主要人群;以夏、秋两季为高峰期;住院半年以上的精神病患者易发生低血钾;常规化验是发现低血钾的主要途径,患者伴有消化道症状及其他临床表现;合并躯体疾病以心血管系统、消化系统多见;精神分裂症患者占74.9%。认为应定期对精神病患者复查血清钾,加强临床症状的观察,在夏、秋季加强监测,对住院半年以上的中老年精神分裂症患者进行重点观察。

A retrospective analysis of the characteristics of hypokalaemia in psychotic inpatients was carried out in this paper.There were 191 patients with hypokalaemia of the total,with an incident rate of 4.6% and schizophrenia patients accounting for 74.9%,among which old and middle-aged people were main groups with hypokalaemia and with a peak in summer and autumn.Mostly,hypokalaemia was diagnosed through test.Basically,patients were accompanied with gastrointestinal symptoms and other clinic symptoms.Regular reexamination of serum potassium of psychotic patients and monitoring in summer and autumn were recommended.Great importance should be attached to old and middle-aged psychotic patients who had been hospitalized for more than half a year.