摘要
目的探讨≥60岁的老年肺癌患者行全身麻醉(以下简称全麻)下胸腔镜肺切除手术后并发心律失常的危险因素。方法回顾性分析2021年10月至2021年12月于首都医科大学宣武医院胸外科病房住院手术的100例老年肺癌患者的资料,将其中诊断为并发心律失常的19例患者作为观察组(心律失常组),诊断为非心律失常的81例患者作为对照组(非心律失常组)。采用单因素和多因素Logistic回归分析危险因素。结果老年肺癌患者胸腔镜肺癌切除术后在住院期间心律失常的总发生率为19%。其中年龄、高血压、术后便秘、手术方式、血清白蛋白浓度是患者肺癌术后发生心律失常的独立的影响因素。结论对于老年肺癌患者可通过年龄、高血压、术后便秘、手术方式、血清白蛋白浓度异常等几项指标来推断发生术后心律失常的可能性,进而有针对性地给予治疗,以达到尽早诊断及预防术后并发心律失常的效果。
Objective To investigate the risk factors of arrhythmia in elderly lung cancer patients age≥60 years after thoracoscopic pneumonectomy under general anesthesia.Methods Retrospective analysis was performed on the data of 100 elderly lung cancer patients admitted to Xuanwu Hospital,Capital Medical University from October 2021 to December 2021.Patients diagnosed with concurrent arrhythmia were selected as the observation group(arrhythmia group),and patients diagnosed with non-arrhythmia were selected as the control group(non-arrhythmia group).Univariate and multivariate Logistic regression were used to analyze risk factors.Results The total incidence of arrhythmia in hospitalized patients after thoracoscopic lung cancer resection was 19%.Age,surgical methods,complications and hypertension were independent risk factors for arrhythmia in patients with lung cancer surgery.Conclusion For elderly lung cancer patients,the possibility of postoperative arrhythmia could be inferred by the age,past history of hypertension,postoperative constipation,surgical methods,albumin abnormalities,and then targeted treatment,in order to achieve early diagnosis and prevention of postoperative arrhythmia.
作者
张静涛
王欣然
韩斌如
强莹
刘雪琪
张毅
Zhang Jingtao;Wang Xinran;Han Binru;Qiang Ying;Liu Xueqi;Zhang Yi(Department of Thoracic Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《首都医科大学学报》
CAS
北大核心
2022年第4期564-569,共6页
Journal of Capital Medical University
基金
首都医学发展科研基金(2022-2-2013)。
关键词
老年
胸腔镜
肺癌切除术
心律失常
临床特征
危险因素
elderly
thoracoscopy
lung cancer resection
arrhythmia
clinical features
risk factors
