食管癌术后心律失常危险因素分析

Analysis of the risk factors of postoperative arrhythmia in patients with esophageal carcinoma

目的探讨食管癌手术后发生心律失常患者的危险因素,为防治该并发症提供依据。方法对2013年全年江苏省肿瘤医院行手术切除的312例原发性食管癌患者的临床资料进行回顾,对术后心律失常发生的危险因素进行单因素和多因素分析。结果患者术后心律失常的发生率为15.7%。单因素分析提示术后肺功能不全、术后输血2个变量是食管癌术后发生心律失常的危险因素;多元回归分析结果提示术后肺功能不全为食管癌术后发生心律失常的独立危险因素。结论术后加强呼吸道管理对减少心律失常的发生具有重要作用。

Objective To investigate the possible risk factors of postoperative arrhythmia in patients with e- sophageal carcinoma resection to provide a basis for prevention and treatment of arrhythmia. Methods We re- strospectivcly analyzed the data for 312 patients who underwent esophageal cancer in 2013. The risk factors of postoperative arrhythmia were studied by single and multiple factor analysis. Results The occurrence of ar- rhythmia after surgery is 15.7%. The results of logistic regression analysis showed that arrhythmia was associat- ed with postoperative pulmonary dysfunction, and blood transfusion after surgery （ P 〈 0.05 for all）. multiple re- gression analysis pointed out that postoperative pulmonary dysfunction was independent risk factor of postopera- tive arrhythmia. Conclusions Strengthening the management of respiratory tract makes for reducing the occur- rence of arrhythmia.