本文選題：房顫 + 射頻消融�。� 參考：《中國老年學(xué)雜志》2017年06期

【摘要】：目的探討房顫射頻消融治療巨大左房型風(fēng)濕性瓣膜病的效果。方法巨大左房型風(fēng)濕性瓣膜病患者78例根據(jù)隨機(jī)抽簽原則分為治療組與對照組各39例,對照組給予常規(guī)手術(shù)治療,治療組在此基礎(chǔ)上加用房顫射頻消融治療。結(jié)果兩組的升主動(dòng)脈阻斷時(shí)間、體外循環(huán)時(shí)間、輔助通氣時(shí)間、術(shù)后24 h引流量、術(shù)后住院天數(shù)對比無統(tǒng)計(jì)學(xué)差異(P0.05)。治療組術(shù)后腎功能不全、肝功能不全、遲發(fā)性心包填塞、惡性心律失常等并發(fā)癥總體發(fā)生率明顯低于對照組(P0.05)。治療組術(shù)中復(fù)跳時(shí)、術(shù)后當(dāng)天與出院時(shí)的消融率都明顯高于對照組(P0.05)。兩組術(shù)前左室射血分?jǐn)?shù)(LVEF)、左房內(nèi)徑(LAD)與左室收縮末期內(nèi)徑(LVDS)對比無統(tǒng)計(jì)學(xué)差異(P0.05),術(shù)后兩組的LAD與LVDS都明顯縮小(P0.05),且兩組間對比差異顯著(P0.05)。結(jié)論房顫射頻消融治療巨大左房型風(fēng)濕性瓣膜病能促進(jìn)患者的心律轉(zhuǎn)復(fù)與心功能的改善,安全性好,同時(shí)不增加手術(shù)的復(fù)雜性。
[Abstract]:Objective to investigate the effect of radiofrequency ablation of atrial fibrillation on giant left atrial rheumatic valvular disease. Methods Seventy-eight patients with giant left atrial rheumatic valvular disease were randomly divided into treatment group (n = 39) and control group (n = 39). Results there was no significant difference in ascending aorta occlusion time, cardiopulmonary bypass time, auxiliary ventilation time, postoperative 24 h drainage volume and postoperative hospitalization days between the two groups (P0.05). The overall incidence of renal insufficiency, liver insufficiency, delayed pericardial tamponade and malignant arrhythmia in the treatment group was significantly lower than that in the control group (P0.05). The ablation rate in the treatment group was significantly higher than that in the control group (P0.05). Left ventricular ejection fraction (LVEF) left atrial diameter (lad) and left ventricular end-systolic diameter (LVDS) were not significantly different between the two groups (P0.05). Conclusion radiofrequency ablation of atrial fibrillation in patients with giant left atrial rheumatic valvular disease can promote the improvement of cardiac function and cardiac function. It is safe and does not increase the complexity of operation.
【作者單位】： 貴州省人民醫(yī)院心臟外科;海南省人民醫(yī)院血管內(nèi)科;
【基金】：海南省衛(wèi)生廳醫(yī)學(xué)科研重點(diǎn)課題(No.瓊衛(wèi)2012 ZD-01)
【分類號】：R654.2

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