肺癌术后并发心律失常的相关因素分析  

Correlation Factors Analysis of Cardiac Arrhythmia Following Operation of Lung Cancer

作　　者：游永浩[1] 刘荣婷[2] 李鸣[2] 王茁[2] 齐同谦[2] 黄柒彬[2] 邹恭道[2] 李跃[2] 

机构地区：[1]长江大学医学院,湖北荆州434000 [2]长江大学附属第一医院荆州市第一人民医院心胸外科,湖北荆州434000

出　　处：《长江大学学报（自科版）（下旬）》2007年第1期16-17,共2页Journal of Yangtze University

摘　　要：目的:探讨诱发肺癌术后心律失常的相关因素,为其防治提供依据。方法:对2002年3月～2006年8月期间的肺癌手术患者212例进行回顾性分析,以可能诱发术后心律失常的相关因素分组,比较术后心律失常的发生率。结果:年龄≥60岁、术前肺功能差(FEV1/FVC<70%)、全肺切除术、术中失血量≥400ml、术后未安装镇痛泵等病例术后心律失常的发生率较高(P<0.05)。结论:年龄≥60岁、术前肺功能FEV1/FVC<70%、全肺切除术、术中失血量≥400ml等可能是肺癌术后心律失常的危险因素;术前改善心肺功能,严格掌握手术适应症,术中减少出血、避免损伤自主神经,术后纠正低氧、镇痛等可能会有效减少术后心律失常发生。Objective:To investigate the correlation factors of cardiac arrhythmia following operation of lung cancer.Methods:With retrospective study, we have an epidemiological survey of cardiac arrhythmia following operation of 212 cases lung cancer from 2002 to 2006 , and the 212 patients are divided into groups by possible correlation factors inducing postoperative cardiac arrhythmia to compare the incidence rate.Results:The risk factors of higher incidence rate were age≥60 years, worse preoperative pulmonary function(FEV1/FVC<70%),total pneumonectomy, volume of blood loss during operation ≥400 ml, non-install analgesia pump.Conclusion:Age≥60 years,worse preoperative pulmonary function(FEV1/FVC<70%),total pneumonectomy, blood loss ≥400 ml may be the risk factors of cardiac arrhythmia after operation of lung cancer; on the contrary,improving cardiopulmonary function and strictly controlling operation indication,decreasing bleeding during operation,avoiding hurting parasympathetic sys-Tem,correcting low oxygen and analgesia etc.may decrease the proportion of arrhythmia after operation.

关 键 词：肺癌 术后心律失常 相关因素分析 

分 类 号：R730.6[医药卫生—肿瘤] R619[医药卫生—临床医学]