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《Maternal and Child Health Care of China》 2019-10
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Influencing factors and preventive measures of postpartum hypokalemia

YUAN Ling;ZHOU Lin;XUAN Ling-Mei;Department of Obstetrics,the First People's Hospital of Hangzhou,Affiliated to Medical College of Zhejiang University;  
Objective To analyze the influencing factors and preventive measures of postpartum hypokalemia,provide a reference for clinical treatment. Methods A total of 2 630 hospitalized women were selected from the First People's Hospital of Hangzhou from March to December in 2017,the clinical data was retrospectively analyzed,the incidence rate of postpartum hypokalemia was calculated,the effects of age,production history,gestational week,delivery mode,dietary intervention during hospitalization,pregnancy complications,drug factors,seasonal factors,and massive hemorrhage on postpartum hypokalemia were analyzed. Results Among 2 630 hospitalized women,the incidence rate of postpartum hypokalemia was 11. 8%( 310 hospitalized women). Univariate analysis showed that the incidence rates of postpartum hypokalemia in women with natural delivery,dietary intervention during hospitalization,pregnancy complications,application of drugs reducing blood potassium,delivery in summer and autumn,hemorrhage were higher( P 0. 05). Multivariate Logistic regression analysis showed that delivery mode,dietary intervention during hospitalization,pregnancy complications,drug factors,and hemorrhage were independent influencing factors of postpartum hypokalemia. Conclusion Delivery mode,dietary intervention during hospitalization,pregnancy complications,drug factors,and hemorrhage are influencing factors of postpartum hypokalemia,effective preventive measures should be taken to reduce the incidence rate of postpartum hypokalemia and improve maternal prognosis.
【Fund】: 杭州市卫生科技计划项目(2016A14)
【CateGory Index】: R714.46
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