Page 112 - 2022-36-中国全科医学
P. 112

http://www.chinagp.net   E-mail:zgqkyx@chinagp.net.cn  ·4587·


                                                                                             ·新进展·


           合并危险因素的高钾血症诊治进展



           罗培艺,马良,苟慎菊           *                                                             扫描二维码
                                                                                               查看原文

               【摘要】 高钾血症是临床上的常见问题,其发生的危险因素包括患有肾脏疾病、心血管疾病、糖尿病以及服用
           影响血钾的药物等。主要表现为心脏和神经肌肉症状,也可导致严重的心律失常。治疗上需以血钾水平和临床表现的
           严重程度为指导来选择药物或透析治疗。近年来涌现出多种新型口服降血钾药物,有望改变高钾血症的治疗模式。本
           文结合文献,对合并危险因素的高钾血症的流行病学、诊断、发病原因、预防和治疗等进行综述,以期为合并危险因
           素的高钾血症的相关诊疗提供理论依据。
               【关键词】 高钾血症;危险因素;诊断;治疗;综述
               【中图分类号】 R 589.4 【文献标识码】 A DOI:10.12114/j.issn.1007-9572.2022.0312
               罗培艺,马良,苟慎菊 . 合并危险因素的高钾血症诊治进展[J]. 中国全科医学,2022,25(36):4587-
           4594.[www.chinagp.net]
               LUO P Y,MA L,GOU S J. Progress in diagnosis and treatment of hyperkalemia with comorbid  risk factors[J]. Chinese
           General Practice,2022,25(36):4587-4594.


           Progress in Diagnosis and Treatment of Hyperkalemia with Comorbid Risk Factors LUO Peiyi,MA Liang,GOU
           Shenju *
           Department of Nephrology,Kidney Research Institute,West China Hospital of Sichuan University,Chengdu 610041,China
           *
           Corresponding author:GOU Shenju,Associate professor,Master supervisor;E-mail:goushenju@163.com


               基金项目:四川省科技创新人才项目(2020JDRC0022);四川省重点研发项目(2020YFS0227)
               610041 四川省成都市,四川大学华西医院肾脏内科 / 肾脏病研究所
               *
               通信作者:苟慎菊,副教授,硕士生导师;E-mail:goushenju@163.com
               本文数字出版日期:2022-07-07


           [32]SHIROBE M,WATANABE Y,TANAKA T,et al. Effect of       (Check-up to discover Health with Energy for senior Residents in
               an oral frailty measures program on community-dwelling elderly   Iwamizawa;CHEER Iwamizawa)[J]. Gerodontology,2022,39(1):
               people:a cluster-randomized controlled trial[J]. Gerontology,  49-58. DOI:10.1111/ger.12621.
               2021:1-10. DOI:10.1159/000516968.               [38]HIHARA T,GOTO T,ICHIKAWA T. Investigating eating
           [33]MATSUO  K,KITO  N,OGAWA  K,et  al.  Improvement  of   behaviors and symptoms of oral frailty using questionnaires[J].
               oral hypofunction by a comprehensive oral and physical exercise   Dent  J  (Basel),2019,7(3):E66.  DOI:
               programme including textured lunch gatherings[J]. J Oral   10.3390/dj7030066.
               Rehabil,2021,48(4):411-421. DOI:10.1111/joor.13122.  [39]NISHIMOTO M,TANAKA T,TAKAHASHI K,et al. Oral frailty
           [34]NOMURA Y,ISHII Y,SUZUKI S,et al. Nutritional status and   is associated with food satisfaction in community-dwelling older
               oral frailty:a community based study[J]. Nutrients,2020,12(9):  adults[J]. Nihon Ronen Igakkai Zasshi,2020,57(3):273-
               E2886. DOI:10.3390/nu12092886.                       281. DOI:10.3143/geriatrics.57.273.
           [35]DIBELLO V,LOZUPONE M,MANFREDINI D,et al. Oral   [40]HATANAKA Y,FURUYA J,SATO Y,et al. Associations
               frailty and neurodegeneration in Alzheimer's disease[J]. Neural   between oral hypofunction tests,age,and sex[J]. Int J
               Regen Res,2021,16(11):2149-2153. DOI:10.4103/1673-   Environ Res Public Health,2021,18(19):10256. DOI:
               5374.310672.                                         10.3390/ijerph181910256.
           [36]HIRONAKA S,KUGIMIYA Y,WATANABE Y,et al. Association   [41]OHARA Y,MOTOKAWA K,WATANABE Y,et al. Association
               between oral,social,and physical frailty in community-dwelling   of eating alone with oral frailty among community-dwelling older
               older adults[J]. Arch Gerontol Geriatr,2020,89:104105.   adults in Japan[J]. Arch Gerontol Geriatr,2020,87:104014.
               DOI:10.1016/j.archger.2020.104105.                   DOI:10.1016/j.archger.2020.104014.
           [37]BABA H,WATANABE Y,MIURA K,et al. Oral frailty and          (收稿日期:2022-03-10;修回日期:2022-05-06)
               carriage of oral Candida in community-dwelling older adults                     (本文编辑:康艳辉)
   107   108   109   110   111   112   113   114   115   116   117