甘草酸制剂对血钾影响及临床用药对策的研究.docVIP

精品论文 参考文献 甘草酸制剂对血钾影响及临床用药对策的研究 尹玉磊 董杰 李海萍 　　北京市大兴区人民医院 102600 　　摘要：目的：研究甘草酸制剂对血钾的影响及临床用药方面的对策。方法：选取在我院诊治的慢性乙型肝炎患者109例，分别就治疗前、治疗中及治疗后患者血钾水平值状况进行观察，并针对不同甘草酸制剂实施组间比较；针对患者不同体质量状况及性别等，对其在低血钾发生率方面存在差异与否进行比较。结果：各组患者在治疗前及治疗后，其血钾水平值未出现显著变化，治疗后，甘草酸二铵肠溶胶囊组及复方甘草酸苷注射液组患者，在血钾水平值方面均存在不同程度下降状况；复方甘草酸苷片组未发生低血钾；复方甘草酸苷片组血钾水平值与草酸二铵组、复方甘草酸苷注射液组相比，明显低于后述二者（P＜0.05）；女性患者的发生率与男性相比，明显高于后者（P＜0.05），体质量低于60kg患者与高于60kg以上患者相比，其血钾水平值明显高于后者（P＜0.05）。结论：采用甘草酸制剂，对患者的血钾影响较小，而对于复方甘草酸苷片组低血钾发生率来讲，与甘草酸二铵肠溶胶囊、复方甘草酸苷注射液组相比，明显低于后二者，对于低体质量的女性患者，其低血钾的发生率较高，因此，在具体临床治疗过程中，应对患者的血钾水平值的变化状况进行密切关注。 　　关键词：甘草酸制剂；血钾；临床用药；研究 　　Abstract Objective：to study the effect of glycyrrhizic acid preparation of potassium and clinical application of countermeasures. Methods：selected in our hospital diagnosis and treatment of 109 cases of patients with chronic hepatitis b，before treatment and after treatment and treatment of patients with potassium level to observe，and comparison between different implementation of glycyrrhizic acid preparation group；According to different patients body quality and gender，etc.，the differences in the incidence of hypokalemia or not. Results：the groups of patients before treatment and after treatment，the potassium level，no significant changes occurred，after treatment，two ammonium glycyrrhetate enteric capsules and glycosides compound glycyrrhizin injection group patients，there exist different degree in potassium levels drop；Compound glycyrrhizic acid glycosides tablets group，there was no hypokalemia；Compound glycyrrhizin glucoside piece of potassium levels and two ammonium oxalate group，compound glycyrrhizin glucoside injection group compared to the below mentioned after both significantly（P lt; 0.05）；The incidence of women compared to men，significantly higher than the latter（P lt; 0.05），body quality falls below 60 kg，when compared to patients with higher than 60 kg above the potassium levels are significantly higher than the latter（P lt; 0.05）. Conclusion：use of glycyrrhizic acid preparation，to pa