NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN LIỆT CHU KỲ DO HẠ KALI MÁU TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ TỪ NĂM 2023 ĐẾN NĂM 2025

Abstract

Background: Hypokalemic periodic paralysis is a myopathy in the group of ion channelopathies in the skeletal muscle cell membrane that causes intermittent generalized/localized flaccid paralysis with diverse clinical manifestations, making diagnosis and treatment difficult Objective: Describe clinical and paraclinical characteristics and determine the rate of some related factors and evaluate the treatment results of patients with periodic paralysis due to hypokalemia. Research method: The study carried out a cross-sectional descriptive research method on 43 patients diagnosed and treated at Can Tho Central General Hospital. Results: Clinical: Hypokalemic periodic paralysis (67.4%), paraplegia (60.5%), muscle strength 2/5 (27.9%), normal tendon reflexes (72.9%), severe hypokalemia at admission (60.47%). A meal rich in carbohydrates and physical activity before the attack were related factors. Conclusion: The clinical form of hypokalemic periodic paralysis is the most common. The most common clinical manifestation is paraplegia, with severe muscle paralysis and preserved tendon reflexes. Patients were admitted to the hospital mainly with severe hypokalemia. A meal rich in carbohydrates and physical activity may be involved in the onset of the attack.