CAJ | 학술논문

目的：探讨肺叶切除术后患者发生心律失常的危险因素，以期为提供针对性的围术期护理措施提供依据.方法便利抽样法选取2012年12月至2013年5月在温州医科大学附属第一医院心胸外科治疗的102例肺叶切除术患者为研究对象，密切观察其术后心律失常的发生情况，并收集临床资料进行数据分析.结果102例肺叶切除术患者中，有37例患者术后心律失常，发生率为36．27％.经单因素分析显示，不同术前 FVE1/FEV和 MVV％、术前心电图和心脏超声、术后血钾、麻醉时间、术后3 h引流量的患者，其术后心律失常发生率的差异有统计学意义(均P＜0．05).多因素 Logistic 回归分析显示， MVV％、麻醉时间、术后3 h引流量是术后心律失常的危险因素(均P＜0．05).结论通过对心律失常危险因素的分析，指导护士临床工作，有效预防及去除诱因，减少术后心律失常的发生.
목적：탐토폐협절제술후환자발생심률실상적위험인소，이기위제공침대성적위술기호리조시제공의거.방법편리추양법선취2012년12월지2013년5월재온주의과대학부속제일의원심흉외과치료적102례폐협절제술환자위연구대상，밀절관찰기술후심률실상적발생정황，병수집림상자료진행수거분석.결과102례폐협절제술환자중，유37례환자술후심률실상，발생솔위36．27％.경단인소분석현시，불동술전 FVE1/FEV화 MVV％、술전심전도화심장초성、술후혈갑、마취시간、술후3 h인류량적환자，기술후심률실상발생솔적차이유통계학의의(균P＜0．05).다인소 Logistic 회귀분석현시， MVV％、마취시간、술후3 h인류량시술후심률실상적위험인소(균P＜0．05).결론통과대심률실상위험인소적분석，지도호사림상공작，유효예방급거제유인，감소술후심률실상적발생.
Objective To investigate the risk factors of arrhythmia after pulmonary lobectomy,and provide further theoretical evidence for targeted perioperative clinical nursing.Methods By convenience sampling, 102 patient who had pulmonary lobectomy were selected,and the incidence of postoperative arrhythmia were observed and collect the clinical data for data analysis.Results Among the 102 patients,37 patients had the arrhythmia and the morbidity was 3 6 .2 7%.Single factor analysis indicated that the arrhythmia after pulmonary lobectomy was associated with FEV1/FEV,MVV%,electrocardiogram,echocardiography,an-esthesia time and the volume of the chest tube drainage in postoperative 3h (all P<0.05).Multiple factor logistic regression analysis indicated MVV%,anesthesia time and the volume of the chest tube drainage after 3h of operation were the risk factors of postoperative arrhythmia (all P<0.05).Conclusion Through the analysis of the risk factors of arrhythmia after pulmonary lobectomy,the result can guide the clinical nursing,and we should take measures to prevent or get rid of induced factors,and reduce the morbidity of post-operative arrhythmia.