摘要
目的 观察糖尿病本身以及胰岛素的应用对维持性血液透析（maintenane hemodialysis,MHD）患者的血钾波动有何影响.方法 选取52例维持性血液透析患者,其中30例为非糖尿病患者（非糖尿病组）,11例患糖尿病但不使用胰岛素患者（糖尿病不用胰岛素组）,1 1例糖尿病使用胰岛素患者（糖尿病用胰岛素组）,于透析0、24、48 h时采集52例患者血清样本,比较3组患者血钾波动情况.结果 0、24、48 h时,糖尿病不用胰岛素组相对于非糖尿病组,血钾水平比较差异无统计学意义.0、24、48 h时,糖尿病用胰岛素组相对于糖尿病不用胰岛素组和非糖尿病组,血钾均较低,差异有统计学意义.结论 糖尿病本身对维持性血液透析患者血钾波动无影响,但胰岛素可降低患者透析前血钾水平.
Objective To observe the influence of diabetes mellitus or insulin on fluctuations of serum potassium in patients with maintenance hemodialysis.Methods 52 cases of hemodialysis patients,including 30 non-diabetes patients,11 patients with diabetes but not using insulin,11 diabetes patients using insulin.At the time of 0,24,48 h during dialysis,we collected serum samples from the 52 patients,serum potassium was compared among the three groups.Results On 0,24,48 h,serum potassium level of the diabetes but not using insulin group had no significant difference with the non-diabetes group.While in diabetes using insulin group,serum potassium level was lower compared with the non-diabetes group or diabetes not using insulin group.Conclusions Diabetes itself had no effect on serum potassium fluctuations of maintenance hemodialysis （MHD） patients,however,insulin can reduce the pre-dialysis serum potassium levels of MHD patients.
出处
《中国实用护理杂志》
北大核心
2014年第6期29-31,共3页
Chinese Journal of Practical Nursing
