实用临床医药杂志2017，Vol.21Issue(8)：93-95,99,4.DOI:10.7619/jcmp.201708028
肺癌术后早期室性心律失常的高危因素分析及护理对策
High risk factors and nursing of early postoperative ventricular arrhythmias in patients with lung cancer
杨新雅 1蔡萍1
作者信息
- 1. 江南大学附属医院无锡市第四人民医院胸心外科,江苏无锡,214062
- 折叠
摘要
Abstract
Objective To explore the risk factors of early postoperative ventricular arrhythmias in patients with lung cancer,and to propose corresponding nursing strategies.Methods A total of 521 lung cancer patients were retrospectively studied.Among them,45 cases occurred ventricular arrhythmias within 48 hours after operation,and were performed Logistic regression analysis,and corresponding nursing measures were taken.Results Postoperative early ventricular arrhythmias occurred in 45 cases(8.6％),including combined ventricular rhythm beats,multi-source ventricular premature beats and ventricular tachycardia speed.Patients aged more than 70 years,oxygenation index ＜ 150 mmHg,total lung resection,preoperative pulmonary dysfunction,hypertension and low blood potassium were high risk factors of postoperative arrhythmia.The preoperative pulmonary dysfunction and total pneumonectomy were independent risk factors of postoperative ventricular arrhythmias.Conclusion Systemic vital organs fully should be assessed,and perioperative health education should be strengthened for patients,and cardiopulmonary exercise guidance,early postoperative sufficient oxygen supply should be conducted to promote effective expectoration and prevent the occurrence of hypoxemia.Antiarrhythmic drugs should be used timely and correctly,and nursing measures are effective methods to prevent postoperative early ventricular arrhythmia of lung cancer.关键词
肺癌/室性心律失常/高危因素/护理Key words
lung cancer/ventricular arrhythmia/high risk factors/nursing分类
医药卫生引用本文复制引用
杨新雅,蔡萍..肺癌术后早期室性心律失常的高危因素分析及护理对策[J].实用临床医药杂志,2017,21(8):93-95,99,4.
