摘要
目的：探讨对食管癌术后发生心律失常的危险因素以指导临床防治。方法：采用病例对照研究方法，收集2002年1月～2005年6月期间在我院住院的食管癌手术患者资料，对术后心律失常可能的危险因素进行Logistic回归分析。结果：多因素非条件Logistic逐步回归分析显示：年龄超过60岁、FEV1／FVC〈70％、术中失血超过600ml、术前半量放疗是食管癌术后心律失常的主要危险因素，术后镇痛是保护因素。结论：对于高龄、术前放疗及术前肺功能下降的患者应做好充分的术前准备，选择合适的术式，术后常规镇痛。
Objective：To investigate risk factors of cardiac arrhythmia folowing operation of esophageal carcinoma and search for the prophylaxis of postoperative cardiac arrhythmia. Methods：With methods of case-control study, an epidemiological survey of the cardiac arrhythmia folowmg operation of esophageal carcinoma from January 2002 to June 2005 was conducted. Logistic regression was performed. Results：The risk factors were identified by muhifactor noconditional logistic regression, including the age older than 60y, FEV1/FVC 〈 70%, blood loss during operation 〉 600ml, preoperative semis radiotherapy. The protective factor was postopemtive analgesia. Conclusion ： It is necessary to strengthen preoperative preparation and treatment for the patients of the age older than 60y, preoperative semis radiotherapy and preoperative pulmonary function descend. To keep a stable state of anesthesia during operation, to choose appropriate surgical approach of esophageal carcinoma and to take postoperative analgesia.
出处
《临床肿瘤学杂志》
CAS
2006年第9期703-705,共3页
Chinese Clinical Oncology
关键词
食管癌
术后并发症
心律失常
Esophageal carcinoma
Postoperative complications
Cardiac arrhythmia
