EnSite标测下射频消融对特发性右室流出道室性早搏患者的疗效及心肌酶学影响

发布时间：2018-05-12 16:31

本文选题：EnSite标测 + 射频消融　；参考：《第三军医大学学报》2017年21期

【摘要】：目的探讨EnSite标测指导下射频消融治疗特发性右室流出道室性早搏的临床效果及对心肌损伤的影响。方法回顾性分析我院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频消融手术治疗患者的临床资料,对比两组患者的手术效果。结果本组中50例患者在常规电生理标测指导下实施射频消融手术(常规组)、34例患者在EnSite标测指导下射频消融治疗(EnSite组)。EnSite组患者的标测时间、射频消融时间、X线曝光时间、手术时间均显著的低于常规组,差异具有统计学意义(P0.05)。术前,EnSite组和常规组的室性早搏数量对比,差异不具有统计学意义(P0.05);术后,EnSite组的24 h室性早搏数量显著低于常规组(P0.05);术后72 h,EnSite组的CK、CKMB、c Tn T、AST、LDH、Mb、HBDH水平显著低于常规组(P0.05)。结论 EnSite标测指导下射频消融治疗特发性右室流出道室性早搏能显著缩短操作时间、减轻对患者心肌造成的损伤,手术效果可靠。
[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.
【作者单位】：安徽医科大学附属省立医院心内科;皖北煤电集团总医院暨蚌埠医学院第三附属医院心内科;
【基金】：蚌埠医学院科研基金(BYKY126N)~~
【分类号】：R541.7

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