肝硬化患者电解质紊乱的相关性分析及临床价值

The correlation between hepatocirrhosis and electrolyte disturbance and the clinical significance

目的通过检测肝硬化患者的血清电解质水平,探讨电解质紊乱在肝硬化患者中的发生率及其与肝硬化的关系。方法选取2015年5月至2017年5月于古浪县人民医院就诊的并被诊断为肝硬化患者150例,抽取静脉血,分析是否发生Na+、Cl-、K+、Ca2+等电解质紊乱。根据肝功能分级,分别描述比较不同肝功能级别发生电解质紊乱的程度。结果在150例受检的肝硬化患者中,有90.67%的患者发生电解质紊乱,且随着肝功能分级的增加,发生电解质紊乱的程度和种类逐渐加重。结论电解质紊乱的程度严重影响着肝硬化患者的预后,故密切观察电解质的水平对肝病情况的评估、治疗方法的确定、疗效的观察、预后的判断等均有着重要意义。

Objective To explore the relationship between electrolyte disturbance and cirrhosis ascites.Methods A total of 150 patients with liver cirrhosis treated during May 2015 and May 2017 were selected.The venous blood was extracted to analyze the disorder of Na+,Cl-,K+and Ca 2+.According to the classification of liver function,the degree of electrolyte disturbance in different liver functions was compared.Results Of the 150 patients,90.67%developed electrolyte disorders.With the deterioration of liver function,the degree and type of electrolyte disturbance gradually increased.Conclusion The degree of electrolyte disturbance seriously affects the prognosis of patients with cirrhosis.Therefore,close monitoring of the levels of electrolytes is important in the evaluation of liver disease,determination of treatment method,observation of the curative effect and prognosis of the patients.