CAJ | 학술논문

目的探讨老年肺癌临终患者并发心律失常的相关因素,以利于合理防治.方法回顾性分析310例老年肺癌临终住院患者的临床资料,按照是否并发心律失常分为并发心律失常组(78例)和未并发心律失常组(232例),采用单因素及多因素Logistic回归分析方法分析老年肺癌临终患者并发心律失常的相关因素.结果单因素及多因素Logistic逐步回归分析显示低氧血症、体力状况评分、住院时间、年龄、吸烟指数和低血红蛋白水平等因素与并发心律失常有相关性.其中多因素Logistic逐步回归结果示低氧血症、体力状况评分、住院时间、年龄、吸烟指数和低血红蛋白水平的OR值(95％可信区间)分别为4.793( 1.400～16.407)、2.020( 1.276～3.200)、1.273(1.175 ～1.378)、1.103(1.031～1.181)、1.005(1.001～ 1.009)、0.966(0.939 ～0.995),P＜0.05或P＜0.01.结论加强老年肺癌临终患者并发心律失常的监控,重视相关因素并早期预防和治疗.
목적 탐토노년폐암림종환자병발심률실상적상관인소,이리우합리방치.방법 회고성분석310례노년폐암림종주원환자적림상자료,안조시부병발심률실상분위병발심률실상조(78례)화미병발심률실상조(232례),채용단인소급다인소Logistic회귀분석방법분석노년폐암림종환자병발심률실상적상관인소.결과 단인소급다인소Logistic축보회귀분석현시저양혈증、체력상황평분、주원시간、년령、흡연지수화저혈홍단백수평등인소여병발심률실상유상관성.기중다인소Logistic축보회귀결과시저양혈증、체력상황평분、주원시간、년령、흡연지수화저혈홍단백수평적OR치(95％가신구간)분별위4.793( 1.400～16.407)、2.020( 1.276～3.200)、1.273(1.175 ～1.378)、1.103(1.031～1.181)、1.005(1.001～ 1.009)、0.966(0.939 ～0.995),P＜0.05혹P＜0.01.결론 가강노년폐암림종환자병발심률실상적감공,중시상관인소병조기예방화치료.
Objective To investigate the risk factors of cardiac arrhythmia in elderly hospice inpatients with pulmonary cancer,and to adopt reasonable protective and therapeutic measures.Methods Totally 78 cardiac arrhythmia and 215 non-cardiac arrhythmia in elderly hospice inpatients with pulmonary cancer were reviewed.Results After logistic regression analysis,hyoxemia,physically score ( ECOG score),duration of hospitalization,ages,smoking index and low hemoglobin showed significant differences (P ＜ 0.05 ),and the odds ratio and 95 ％confidence interval were 4.793 ( 1.400 ～ 16.407 ),2.020 ( 1.276 ～ 3.200 ),1.273 ( 1.175 ～ 1.378 ),1.103( 1.031 ～ 1.181 ),1.005( 1.001 ～ 1.009),0.966(0.939 ～0.995).Conclusions We should control cardiac arrhythmia in elderly hospice inpatients with pulmonary cancer.According to the risk factors,early diagnosis and treatment must be strengthened.