老年肺癌患者胸腔镜手术后并发心律失常的情况及影响因素分析  

Analysis the incidence of arrhythmia after thoracoscopic surgery in elderly patients with lung cancer and its influencing factors

作　　者：刘海燕[1] 高星晨 李杨 韩毅[2] LIU Haiyan;GAO Xingchen;LI Yang;HAN Yi(The Second Department of Cerebral Surgery,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China;Minimally Invasive Diagnosis and Treatment Center,BeijingChest Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京胸科医院胸外二科,北京101149 [2]首都医科大学附属北京胸科医院微创诊疗中心,北京101149

出　　处：《中国医药导报》2024年第2期128-131,共4页China Medical Herald

基　　金：北京市属医院科研培育计划项目(PX2021060)。

摘　　要：目的探讨老年肺癌患者胸腔镜手术后并发心律失常的情况及影响因素。方法选取首都医科大学附属北京胸科医院2021年1月至2022年12月收治的老年肺癌患者300例,根据老年肺癌患者胸腔镜手术后并发心律失常的情况分为心律失常组与无心律失常组。比较两组的一般资料及临床资料,采用多因素logistic回归分析老年肺癌患者胸腔镜手术后并发心律失常的影响因素。结果300例老年肺癌患者胸腔镜手术后心律失常的发生率为20.67%(62/300)。两组年龄、高血压病、吸烟史、术后肺部感染、术后电解质紊乱、术后便秘比较,差异有统计学意义(P<0.05)。年龄(OR=1.900)、高血压病(OR=2.180)、术后肺部感染(OR=2.410)、术后电解质紊乱(OR=1.717)、术后便秘(OR=1.499)是老年肺癌患者胸腔镜手术后并发心律失常的危险因素(P<0.05)。结论年龄、高血压病、术后肺部感染、术后电解质紊乱、术后便秘是老年肺癌患者胸腔镜手术后并发心律失常的危险因素,可针对上述因素进行针对性干预降低心律失常风险。Objective To explore the incidence and influencing factors of arrhythmia in elderly patients with lung cancer after thoracoscopic surgery.Methods A total of 300 elderly patients with lung cancer who underwent thoracoscopic surgery in Beijing Chest Hospital,Capital Medical University from January 2021 to December 2022 were selected.They were divided into the arrhythmia group and non-arrhythmia group according to the incidence of arrhythmia in elderly patients with lung cancer after thoracoscopic surgery.The general data and clinical data of two groups were compared,and the influencing factors of arrhythmia in elderly patients with lung cancer after thoracoscopic surgery were analyzed by multivariate logistic regression.Results The incidence of arrhythmia in elderly patients with lung cancer after thoracoscopic surgery was 20.67%(62/300).There were significant differences in age,hypertension,smoking history,postoperative pulmonary infection,postoperative electrolyte disorder,and postoperative constipation between two groups(P<0.05).Age(OR=1.900),hypertension(OR=2.180),postoperative pulmonary infection(OR=2.410),postoperative electrolyte disorder(OR=1.717),and postoperative constipation(OR=1.499)were the risk factors for arrhythmia in elderly patients with lung cancer after thoracoscopic surgery(P<0.05).Conclusion Age,hypertension,postoperative pulmonary infection,postoperative electrolyte disturbance,and postoperative constipation are the risk factors for arrhythmia in elderly patients with lung cancer after thoracoscopic surgery.Targeted intervention can be conducted to reduce the risk of arrhythmia.

关 键 词：肺癌 老年 胸腔镜 心律失常 肺部感染 血压 

分 类 号：R734.2[医药卫生—肿瘤]