河北医科大学学报

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糖盐胶囊纠正膝关节置换术后低钠血症的临床研究

  

  1. 河北医科大学第三医院关节一科,河北 石家庄 050051
  • 出版日期:2016-08-25 发布日期:2016-09-01
  • 作者简介:张淑环(1966-),女,河北赵县人,河北医科大学第三医院副主任护师,医学学士,从事临床护理学研究。

Clinical study on the correction of hyponatremia after knee joint replacement by the capsule of sugar and salt

  1. Department of Joint Ⅰ, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
  • Online:2016-08-25 Published:2016-09-01

摘要: [摘要] 目的 探讨糖盐胶囊纠正非糖尿病患者膝关节置换术后并发低钠血症的临床疗效。方法 选取非糖
尿病性膝关节置换术后发生低钠血症患者 60 例,随机分为观察组和对照组各 30 例,对照组给予盐胶囊口服,观察
组给予糖盐胶囊口服。结果 2 组治疗后血钠浓度均逐渐回升至术前水平,观察组血钠浓度提高早于对照组,组间、
时点间、组间·时点间交互作用差异均有统计学意义( P <0.05 )。观察组恶心呕吐发生率均低于对照组(
P <
0.05 ),腹胀发生率与对照组差异无统计学意义( P >0.05 )。结论 糖盐胶囊纠正非糖尿病患者膝关节置换术后并
发低钠血症的疗效较盐胶囊效果好且不良反应少。

关键词: 关节成形术, 置换, 膝, 糖盐胶囊, 低钠血症

Abstract: [
Abstract ] Objective Toinvestigatetheclinicaleffectofthecapsuleofsugar-saltcapsules
onthecorrectionofhyponatremiaafterthekneejointreplacementinpatientswithnon-diabetes.
Methods Sixty non-diabeticcases with hyponatremiaafterkneearthroplasty weredivide
randomlyintotwogroups : observationgroup ( 30cases ) andcontrolgroup ( 30cases ) .The
patientsincontrolgroupweregivensaltcapsulesorallyandthepatientsinobservationgroup
weregivensugar-saltcapsulesorally.Results Thebloodsodiumconcentrationinthe2groups
weregraduallyrecoveredtothepreoperativelevel.Thebloodsodium concentrationinthe
observationgroupwasincreasedearlierthanthatinthecontrolgroup.Thereweresignificant
differencesintheinteractionbetweengroupandtimebetweengroups ( P <0.05 ) .Theincidence
ofnauseaandvomitinginobservationgroupwaslowerthanthatincontrolgroup.Thedifference
wasstatisticallysignificant ( P <0.05 ) .Therewasnosignificantdifferenceintheincidenceof
abdominaldistensionbetweenthecontrolgroupandthecontrolgroup ( P >0.05 ) .Conclusion
Thetherapeutic effects ofthe sugar-saltcapsules on correcting hyponatremia after knee
arthroplastyfornon-diabeticswereobviouslysuperiorthanthatofthesaltcapsule , andwere
fewerside-effectsthanthatofsaltcapsules.

Key words: arthroplasty, replacement, knee , salt-sugercapsule , hyponatremia