Correlation factors in elderly patients with lung cancer complicated by postoperative arrhythmia
CHEN Xiao-xia
YU Wei
GAO Xuan-ling
YAO En-li
Abstract：Objective To study the correlation factors in elderly patients (age≥70) with lung cancer complicated by postoperative arrhythmia, and draw up corresponding nursing interventional strategies.Methods The elderly patients with primary lung cancer (n=212) were chosen after surgery from Jan. 2009 to Jan. 2014, and then divided, according to whether or not they had arrhythmia [atrial premature beats (APB), ventricular premature beat (VPB), nodal tachycardia, paroxysmal supraventricular tachycardia (PSVT), ventricular tachycardia, atrial fibrillation and atrioventricular block], into arrhythmia group (n=37) and non-arrhythmia (n=175). The clinical data of the patients were retrospectively analyzed, and differences in sex constituent ratio, age, disease history, smoking history, pre-operation electrocardiogram (ECG), left ventricular ejection fraction (LVEF), 1-second forced expiratory volume (FEV1) and tumor features were compared between 2 groups. The risk factors correlated to postoperative arrhythmia were studied by using multi-factor Logistic analysis. Results All 212 patients were aged from 70 to 81 and average age was (72.2±3.6), and among them 172 were male patients and 40 were female ones. The percentages of patients was older than 75 and had cardiovascular diseases were significantly higher in arrhythmia group than those in non-arrhythmia group (P<0.05), and the differences in sex constituent ratio and smoking history had no statistical significance between 2 groups (P>0.05). The examination of pre-operation ECG was abnormal in arrhythmia group, and the percentages of patients with LVEF<50% and patients with FEV1<1.5 L were significantly higher in arrhythmia group than those in non-arrhythmia group (P<0.05). The differences in tumor locations, phases and pathological types had no statistical significance between 2 groups (P>0.05). The results of multi-factor Logistic analysis showed that age, history of cardiovascular diseases, LVEF and FEV1 were risk factors correlated to postoperative arrhythmia in elderly patients with lung cancer. Conclusion The elderly patients with lung cancer who need surgical treatment should be given a comprehensive review on heart and lung functions, and better perioperative nursing service according their conditions. After surgery, patients’ vital signs should be closely monitored for avoiding the adverse results due to arrhythmia.
Keywords：Lung cancerOperationArrhythmiaCorrelation factorsNursing
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1004-1007 )