肺癌患者全肺切除术后并发心律失常的原因、护理技巧探讨

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (28 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo analyze the causes of arrhythmia after total lobectomy in patients with lung cancer,and put forward relevant nursing countermeasures.Methods68 patients with lung cancer with total lobectomy from March 2015 to March 2017 of our hospital were selected as study objects.Patients were divided into groups according to whether or not there was arrhythmia after the operation.12 patients with arrhythmia after operation were selected as observation group.56 patients without arrhythmia after operation were selected as control group.The related data of two groups were analyzed,and the causes of arrhythmia after operation were analyzed,and the corresponding nursing countermeasures were put forward.ResultsThe reason of arrhythmia after total lobectomy was related with age,smoking history,history of pulmonary function impairment,heart history,operation time,intraoperative blood loss,postoperative hypoxemia,postoperative hemodynamic changes,postoperative mediastinal swing,postoperative severe pain and postoperative constipation (P＜0.05).Logistic regression analysis showed that the independent risk factors of arrhythmia after total lobectomy were aged more than 65 years old,history of pulmonary function impairment,heart history,postoperative hypoxemia and postoperative hemodynamic changes(P＜0.05).ConclusionThe reason is more complicated with arrhythmia after pneumonectomy for lung cancer patients,including age,cardiopulmonary function,type of surgery,intraoperative blood loss.In this regard,strengthen the patients ECG,timely analgesia,timely detection and treatment complications need to take to reduce the incidence of arrhythmia.

Key words： Lung cancer Total lobectomy Arrhythmia Cause Nursing

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	BU Jin-zhi

Cite this article:

BU Jin-zhi. Investigation the causes and nursing skills of arrhythmia after total lobectomy in patients with lung cancer[J]. 中国当代医药, 2017, 24(32): 183-185.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I32/183

[1]	韩艳.肺癌患者全肺切除术后并发心律失常的原因分析及护理对策[J].中国实用护理杂志，2015，12（z2）：41-42.
[2]	孟亚熙.高龄肺癌患者全肺切除术后心律失常的因素分析及临床护理[J].中国心血管病研究，2014，12（3）：250-252.
[3]	刘玮，韦鸣，廖勇，等.结核性毁损肺全肺切除术后并发心律失常的危险因素分析[J].右江医学，2015，43（5）：562-566.
[4]	田晶.肺癌患者全肺切除术后并发心律失常的原因分析及护理对策探究[J].实用临床护理学电子杂志，2017，2（3）：137，140.
[5]	沈莉，祝鑫海，骆立新，等.老年患者全肺切除术后心律失常的护理[J].心脑血管病防治，2014，23（4）：348-350.
[6]	马晓甜，马宏慧，刘娟，等.肺癌单侧全肺切除术围手术期的护理措施[J].护理实践与研究，2014，18（5）：98-99.
[7]	李盈，陈凤玉，陈婉玲，等.高龄患者全肺切除术后心律失常原因分析及预防[J].当代护士，2016，22（11）：55-56.
[8]	黎传奎，王祖义，刘学刚，等.扩大肺切除在局部晚期非小细胞肺癌治疗中的应用[J].广东医学，2017，38（z1）：78-80.
[9]	韩桂红.预见性护理在肺癌全肺切除术后并发症中的应用分析[J].继续医学教育，2015，24（8）：101-102.
[10]	胡娅，曾莉，赵雪梅，等.护理干预对肺癌患者全肺切除术后相关并发症的影响研究[J].检验医学与临床，2015，19（z2）：184-185.
[11]	雷宇新.临床护理工作对肺癌全肺切除术后并发症的发生率影响分析[J].中国医药科学，2015，5（17）：118-120，154.
[12]	周秀芳，刘东英，孙爱英，等.预见性护理在肺癌全肺切除术后并发症管理中的应用[J].中国实用医刊，2015，42（4）：87-89.
[13]	于靖，曹绪芬，赵荣诚，等.肺癌全肺切除术后并发心律失常相关因素的分析和处理[J].贵州医药，2016，40（1）：50-51.
[14]	王红玉，柳丹珍.肺癌患者全肺切除术后并发心律失常的护理对策研究[J].世界临床医学，2017，11（11）：204，207.
[15]	王静芳.肺癌患者全肺切除术后并发心律失常的原因分析及护理对策[J].实用临床护理学电子杂志，2017，2（13）：134，136.