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目的:分析新疆不同民族患者开胸手术后心律失常的发生情况。方法:回顾性分析699例不同民族患者开胸手术后心律失常的发生率、年龄和民族分布及其与手术前心电图表现和不同手术方式的关系。结果:术后发生心律失常者113例,总发生率为16.2%,其中不同年龄组心律失常发生率差异有统计学意义(P<0.05),不同民族之间其发生率差异无统计学意义(P>0.05),术前心电图异常组的心律失常发生率明显高于术前心电图正常组(P<0.01),不同手术方式的心律失常发生率差异具有统计学意义(P<0.01)。结论:开胸手术后心律失常并非少见,其发生率与病人年龄、术前心电图表现和手术方式有关,与民族及性别无关。
Objective: To analyze the incidence of arrhythmia after thoracotomy in different ethnic groups in Xinjiang. Methods: The incidence, age and ethnic distribution of arrhythmia after thoracotomy in 699 patients from different ethnic groups were retrospectively analyzed. Their relationships with preoperative electrocardiogram and different surgical methods were analyzed. Results: There were 113 cases of arrhythmia after operation, the total incidence rate was 16.2%. There was significant difference in incidence of arrhythmia between different age groups (P <0.05), and there was no significant difference in incidence among different ethnic groups P> 0.05). The incidence of arrhythmia in preoperative ECG abnormality group was significantly higher than that in preoperative ECG (P <0.01). The incidence of arrhythmia in different surgical methods was statistically significant (P <0.01). Conclusion: Arrhythmia after thoracotomy is not uncommon. Its incidence is related to patient ’s age, preoperative electrocardiogram and operation method, and has no relation with nationality and gender.