本文選題：臨床實(shí)驗(yàn)室 + 精神科��； 參考：《天津醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的:探討精神科實(shí)驗(yàn)室低血鉀危急值與臨床應(yīng)用的關(guān)系。方法:運(yùn)用回顧性查閱病歷的方法分析2011年1月份-2013年12月份三年間住院一個(gè)月及以上患者的相關(guān)臨床資料。查閱臨床資料的內(nèi)容包括患者的性別、年齡、飲食情況、軀體疾病、用藥種類、住院后的并發(fā)癥以及出現(xiàn)低血鉀危急值時(shí)的臨床表現(xiàn)。運(yùn)用統(tǒng)計(jì)學(xué)軟件包SPSS19.0和SPSS PASW statistics V18.0對(duì)所研究數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,計(jì)量數(shù)據(jù)以均數(shù)±標(biāo)準(zhǔn)差表示,計(jì)數(shù)數(shù)據(jù)以百分率表示并應(yīng)用卡方檢驗(yàn)進(jìn)行相關(guān)分析比較,當(dāng)P0.05為有統(tǒng)計(jì)學(xué)差異。結(jié)果:2011年1月份-2013年12月份天津市安定醫(yī)院臨床實(shí)驗(yàn)室危急值報(bào)告例數(shù)總共856例,其中低血鉀危急值總計(jì)512例,占臨床實(shí)驗(yàn)室危急值報(bào)告總數(shù)的60%。臨床實(shí)驗(yàn)室檢測(cè)血漿鉀總例數(shù)為50902例,512例為低血鉀危急值總報(bào)出率為1.01%。其中男女比例約1:2,(?2=62.33,P0.05)說明低血鉀危急值男女性別有統(tǒng)計(jì)學(xué)差異;(?2=7.942,P0.05)說明低血鉀危急值在年齡分組間存在統(tǒng)計(jì)學(xué)差異;(?2=32.42,P0.05)說明低血鉀危急值在季節(jié)分布間存在統(tǒng)計(jì)學(xué)差異;低血鉀危急值夏季和秋季報(bào)出例數(shù)較高,占低血鉀危急值總例數(shù)的64.9%;(?2=19.62,P0.05)說明低血鉀危急值在精神科疾病病種分布間存在統(tǒng)計(jì)學(xué)差異。512例危急值中395例患者飲食情況為飲食不佳或飲食極差占低血鉀危急值總例數(shù)的77.1%。在用藥方面,368例低血鉀危急值患者為聯(lián)合用藥,占危急值總例數(shù)的71.9%。結(jié)論:基于臨床實(shí)驗(yàn)室低血鉀危急值數(shù)據(jù)和臨床資料的回顧性綜合研究得出,性別因素、年齡因素、季節(jié)因素、飲食狀況、患精神科疾病病種、精神科治療藥物服用情況、軀體疾病等互為因果均對(duì)于低血鉀危急值的出現(xiàn)有著直接或間接的關(guān)系。具體為女性、年齡小于60歲的中青年、夏秋季節(jié)、飲食不佳或極差、聯(lián)合用藥的患者為低血鉀危急值的高影響因素。攝入不足是精神科住院患者發(fā)生低血鉀危急值的主要原因。
[Abstract]:Objective: to investigate the relationship between hypokalemia critical value and clinical application in psychiatric laboratory. Methods: the clinical data of patients who were hospitalized for one month or more from January 2011 to December 2013 were analyzed retrospectively. Clinical data included sex, age, diet, body disease, drug use, complications after hospitalization, and clinical manifestations of hypokalemia. Statistical software package SPSS19.0 and SPSS PASW statistics V18.0 were used to analyze the data. The measurement data were expressed as mean 鹵standard deviation, the counting data were expressed as percentage and the correlation was compared by chi-square test. Results: from January 2011 to December 2013, a total of 856 cases of critical value of clinical laboratory in Tianjin Anding Hospital were reported, among which 512 cases of hypokalemia were reported, accounting for 60% of the total number of critical value reported in clinical laboratory. The total number of cases of plasma potassium detected in clinical laboratory was 50902 cases. The total reported rate of critical value of hypokalemia was 1.01%. The ratio of male to female was about 1: 2: 20.33% (P0.05). The results showed that there was a statistical difference in the critical value of hypokalemia between male and female (P 0.05).) there was a statistical difference in the critical value of hypokalemia among age groups (P 0.05), which indicated that the critical value of hypokalemia was significantly different in seasonal distribution. The critical value of hypokalemia was higher in summer and autumn. 64.9% of the total number of hypokalemic critical value (P 0.05) showed that there was a statistical difference in the distribution of hypokalemic critical value among the patients with psychiatric diseases. Among the 512cases of critical value, 395 patients' diet condition was poor diet or poor diet accounted for 77.1% of the total number of hypokalemic critical value cases. 368 patients with hypokalemic critical value were treated with combined therapy, accounting for 71.9% of the total critical value. Conclusion: based on the clinical laboratory hypokalemic critical value data and clinical data of comprehensive research, sex factors, age factors, seasonal factors, dietary status, suffering from psychiatric diseases, psychiatric treatment drug use situation, There is a direct or indirect relationship between the occurrence of hypokalemia and the occurrence of hypokalemia. In particular, women, younger than 60 years of age, summer and autumn season, poor or extremely poor diet, combined use of patients with high risk factors for hypokalemia. Inadequate intake is the main cause of hypokalemia in psychiatric inpatients.
【學(xué)位授予單位】：天津醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R446.112

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相關(guān)期刊論文 前2條

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