康复科住院患者血钙增高的疾病类型及原因

Types and causes of elevated blood calcium in hospitalized patients in rehabilitation department

目的对康复科住院患者血钙增高原因进行分析,为临床治疗及监测提供参考依据。方法收集2019年6月至2020年3月成都市郫都区中医医院康复科血钙增高的住院患者共67例,结合临床资料对血钙增高患者疾病分类并对其原因进行分析。结果67例血钙增高患者中,52例(77.61%)为腰椎间盘突出患者,11例(16.42%)为椎动脉颈椎病患者,2例(2.99%)为神经根型颈椎病患者,甲状旁腺功能亢进及多发性骨髓瘤各1例(1.49%)。血钙增高原因主要为药物补钙治疗(占47.76%),其次为肾损伤(占37.32%)。结论该院康复科患者血钙增高常见原因为治疗性补钙及肾损伤,临床上在对患者进行治疗性补钙时,应综合评价患者肾功能,并对患者血钙进行密切监测。

Objective To analyze the causes of increased blood calcium in hospitalized inpatients in rehabilitation department,and to provide reference for clinical treatment and monitoring.Methods A total of 67 patients with hypercalcemia were collected from June 2019 to March 2020 in the Rehabilitation Department of the Traditional Chinese Medicine Hospital of Pidu District,Chengdu.The clinical data were combined to classify the diseases of patients with hypercalcemia and analyze their causes.Results Among the elevated serum calcium of the 67 patients,52 patients(77.61%)with disc herniation,11(16.42%)were vertebral cervical spondylopathy,and 2(2.99%)were cervical spondylotic radiculopathy,1(1.49%)was hyper parahtyroidism,and 1(1.49%)was multiple myeloma.The main reason for the increase in blood calcium was drug calcium supplementation(47.76%),followed by kidney injury,each accounted for 37.32%.Conclusion The common cause of patients with elevated blood calcium in rehabilitation department is mainly therapeutic calcium supplementationand kidney injury.In clinical treatment of calcium supplementation,the patient’s renal function should be comprehensively evaluated,and the blood calcium of the patients should be closely monitored.