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Integrative Medicine Clinical observation of hypokalemia

Key words Shengmai injection;,,, in Integrative Medicine;,,, hypokalemia Abstract: Objective method for the treatment of integrative medicine the clinical efficacy of hypokalemia. Methods 84 patients were randomly divided into two groups. Treatment group (Group of Integrative Medicine) 42 patients in the control group (treatment group) 42 patients before treatment and after treatment blood test taken every 4 h 1 serum potassium between the two groups of patients symptoms, restore normal serum potassium required time, and treatment efficacy after 8 h the situation. The results of serum potassium in patients with normal muscle strength and compared to the situation, limb muscle strength in patients treated with the serum potassium returned to normal time was significantly shorter than in the control group. 8 h efficacy of treatment compared to treatment group was significantly higher. Conclusion Integrative Medicine hypokalemia significantly better than Western medicine alone control group, treatment group hypokalemia are corrected more quickly and safely shorten the course of treatment, to reduce serious complications such as arrhythmia, improve the treatment effect. Chinese papers League finishing. Keywords: Shengmai injection; in Integrative Medicine; hypokalemia hypokalemia is common in emergency department patients, the light can not walk in patients with fatigue, patients with severe there may be respiratory muscle paralysis and respiratory failure, blood pressure, shock and fatal arrhythmia and more. Nearly 4 years in our department based on western medicine treatment with intravenous pulse injection of Health hypokalemia, with satisfactory results. Are reported below. 1 clinical data 1.1 cases, 84 cases selected are in line with hypokalemia diagnostic criteria: (1) symptoms of hypokalemia; ( 2) serum potassium below 3.5 mol / L, ECG changes consistent with hypokalemia; (3) except for mild hypokalemia (serum potassium at 3.0 ~ 3.5 mmol / L); (4) except for serious cardiovascular and cerebrovascular diseases and other serious diseases associated with hypokalemia. 1.2 General information on all 84 patients in our hospital between 2001-04 ~ 2005-04 hypokalemia patients hospitalized and Observance, by number table, randomly divided into two groups. Treatment of 42 patients, 29 males and 13 females; aged 6 to 85 years, mean 40.75 years; minimum serum potassium 1.03 mmol / L, the hyperkalemia 3.00 mmol / L, an average of 2.2 mmol / L; in which too little intake emit excessive sweating in 22 cases, the use of certain antibiotics, high dose intravenous hypertonic glucose, or improper use of diuretics in 12 cases, periodic paralysis in 6 cases, other causes in 2 cases; can not walk alone in 28 cases, 34 patients with palpitations, abdominal distension in 21 cases; ECG arrhythmia suggest 22 cases, there were 13 cases of respiratory muscle paralysis. The control group, 42 cases, 31 males and 11 females; age 8 to 82 years old, average 42.25 years old; the lowest serum potassium 1.25 mmol / L, the hyperkalemia 2.90 mmol / L, an average of 2.4 mmol / L; in which too little intake emit too much, a lot of sweating in 24 patients, the use of certain antibiotics, high-dose intravenous infusion of hypertonic glucose or improper use of diuretics in 9 cases, 7 cases of periodic paralysis, other reasons in 2 cases; can not walk alone in 30 cases , 32 patients with palpitations, abdominal distension in 25 cases, 25 cases of ECG arrhythmia suggest, there were 11 cases of respiratory paralysis. Data were statistically the two groups of patients, there was no significant difference (P> 0.05), comparable. 2 Methods 2.1 treatment group were given conventional Western medicine treatment: oral and intravenous potassium chloride supplement (based on potassium deficiency conditions, potassium 4 ~ 12 g / d, potassium, by as much as possible with the oral, 3 ~ 6 g / d, with saline as intravenous potassium to avoid excessive sugar input, so as not to affect the efficacy of causes osmotic diuresis), strict control of Potassium speed and concentration, as far as possible avoid the input of liquid potassium to prevent dilution of serum potassium levels, treatment of primary disease, to correct alkalosis, if necessary, use of anti-arrhythmia drugs. Treatment group on the basis of conventional therapy, yet Shengmai intravenous injection. Specific methods: Shengmai injection (from the red ginseng, Ophiopogon, Schisandra composition, size 10 ml / support, set An Yisheng Pharmaceutical Co., Ltd. Production in Jilin Province, batch number: 050423) 30 ~ 60 ml, adding 0.9 % N · S 70 ~ 100 ml of intravenous infusion,[link widoczny dla zalogowanych], 2 times / d. 2.2 observed indicators and methods for blood collected every 4 h (sample collection to minimize the impact of potassium results when the factor) serum potassium concentration, observation and to symptoms in patients with serum potassium concentrations greater than 3.5 mmol / L, limb muscle strength were compared between the two groups, serum potassium returned to normal time; close observation of limb muscle strength, dyspnea, ECG, etc., recorded every 4 hours after treatment, serum potassium and compare the efficacy of the situation after 8 h . 2.3 rank test using statistical methods and χ2 test.