房颤射频消融治疗巨大左房型风湿性瓣膜病的效果

发布时间：2018-06-25 23:25

本文选题：房颤 + 射频消融　；参考：《中国老年学杂志》2017年06期

【摘要】：目的探讨房颤射频消融治疗巨大左房型风湿性瓣膜病的效果。方法巨大左房型风湿性瓣膜病患者78例根据随机抽签原则分为治疗组与对照组各39例,对照组给予常规手术治疗,治疗组在此基础上加用房颤射频消融治疗。结果两组的升主动脉阻断时间、体外循环时间、辅助通气时间、术后24 h引流量、术后住院天数对比无统计学差异(P0.05)。治疗组术后肾功能不全、肝功能不全、迟发性心包填塞、恶性心律失常等并发症总体发生率明显低于对照组(P0.05)。治疗组术中复跳时、术后当天与出院时的消融率都明显高于对照组(P0.05)。两组术前左室射血分数(LVEF)、左房内径(LAD)与左室收缩末期内径(LVDS)对比无统计学差异(P0.05),术后两组的LAD与LVDS都明显缩小(P0.05),且两组间对比差异显著(P0.05)。结论房颤射频消融治疗巨大左房型风湿性瓣膜病能促进患者的心律转复与心功能的改善,安全性好,同时不增加手术的复杂性。
[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.
【作者单位】：贵州省人民医院心脏外科;海南省人民医院血管内科;
【基金】：海南省卫生厅医学科研重点课题(No.琼卫2012 ZD-01)
【分类号】：R654.2

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