新疆_____开胸手术;_心律失常;

新疆不同民族患者开胸手术后心律失常分析

http://www.100md.com 《新疆医科大学学报》 2005年第8期

新疆,,开胸手术;,心律失常;,不同民族,1资料与方法,2结果,3讨论

     摘要: 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。

    关键词: 开胸手术; 心律失常; 不同民族

    Analysis of the occurrence of postthoracotomic arrhythmia in different nationalities in Xinjiang

    Anniwaer1, Ilyar2, Abudukeyim1, et al

    (1Department of Cardio Thoracic Surgery, First People′s Hospital, , Kashi 844000, China2Department of Thoracic Surgery, First Affiliaated Hospital, Xinjiang Medical University, Urumqi 830054, China)

    Abstract: Objective: Analyze the occurrence of postthoracotomic arrhythmia including the rate occurrence, age and gender distribution, the relationship between arrhythmia and preoperative ECG and operative pattern among different nationalities in Xinjiang. Method: Retrospectively study 699 cases hospitalized and received open chest surgery in our hospitals between Jan, 1995 and Feb, 2004. Results: There were 113 cases occurred postoperative arrhythmia, the rate was 16.2%. The rate between different age group was significantly different (P<0.05), There was no significant difference between different nationalities (P>0.05), The group of abnormal preoperative FCG had significantly higher rate of arrhythmia than the group of normal preoperative ECG (P<0.01), The rate of arrhythmia between different operative pattern was significantly different (P<0.01). Conclusion: Age, whether the preoperative ECG is normal or not, and operative pattern make differences upon the rate of arrhythmia after open chest surgery, while nationalities and gender make no differnce upon it. ......

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