本文選題：EnSite標(biāo)測(cè) + 射頻消融��； 參考：《第三軍醫(yī)大學(xué)學(xué)報(bào)》2017年21期

【摘要】：目的探討EnSite標(biāo)測(cè)指導(dǎo)下射頻消融治療特發(fā)性右室流出道室性早搏的臨床效果及對(duì)心肌損傷的影響。方法回顧性分析我院2013年1月至2016年1月收治的84例右室流出道室性早搏行射頻消融手術(shù)治療患者的臨床資料,對(duì)比兩組患者的手術(shù)效果。結(jié)果本組中50例患者在常規(guī)電生理標(biāo)測(cè)指導(dǎo)下實(shí)施射頻消融手術(shù)(常規(guī)組)、34例患者在EnSite標(biāo)測(cè)指導(dǎo)下射頻消融治療(EnSite組)。EnSite組患者的標(biāo)測(cè)時(shí)間、射頻消融時(shí)間、X線曝光時(shí)間、手術(shù)時(shí)間均顯著的低于常規(guī)組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)前,EnSite組和常規(guī)組的室性早搏數(shù)量對(duì)比,差異不具有統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后,EnSite組的24 h室性早搏數(shù)量顯著低于常規(guī)組(P0.05);術(shù)后72 h,EnSite組的CK、CKMB、c Tn T、AST、LDH、Mb、HBDH水平顯著低于常規(guī)組(P0.05)。結(jié)論 EnSite標(biāo)測(cè)指導(dǎo)下射頻消融治療特發(fā)性右室流出道室性早搏能顯著縮短操作時(shí)間、減輕對(duì)患者心肌造成的損傷,手術(shù)效果可靠。
[Abstract]:Objective to investigate the clinical effect of radiofrequency catheter ablation (RFCA) guided by EnSite mapping on idiopathic right ventricular outflow tract ventricular premature beat (IVAP) and its effect on myocardial injury. Methods the clinical data of 84 patients with right ventricular outflow tract premature beats treated by radiofrequency ablation from January 2013 to January 2016 were analyzed retrospectively. Results 50 patients underwent radiofrequency ablation under the guidance of routine electrophysiological mapping. In the routine group, 34 patients underwent radiofrequency ablation under the guidance of EnSite mapping. The operative time was significantly lower than that in the routine group, and the difference was statistically significant (P 0.05). There was no significant difference in the number of ventricular premature beats between the preoperative EnSite group and the routine group (P 0.05), the 24 h ventricular premature beat in the EnSite group was significantly lower than that in the normal group (P 0.05), and the level of CKT CKMBC T n TAST Mbmb DH was significantly lower in the EnSite group than that in the normal group at 72 h after operation (P 0.05). Conclusion radiofrequency catheter ablation under the guidance of EnSite mapping can significantly shorten the operating time and reduce the myocardial injury in patients with idiopathic right ventricular outflow tract ventricular premature beats.
【作者單位】： 安徽醫(yī)科大學(xué)附屬省立醫(yī)院心內(nèi)科;皖北煤電集團(tuán)總醫(yī)院暨蚌埠醫(yī)學(xué)院第三附屬醫(yī)院心內(nèi)科;
【基金】：蚌埠醫(yī)學(xué)院科研基金(BYKY126N)~~
【分類號(hào)】：R541.7

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