摘要
目的比较控制心室率与恢复窦性心律对心房颤动患者近期生活质量的影响。方法 134例心房颤动患者随机分为控制心室率组(控率组,n=67)和恢复窦性心律组(复律组,n=67)。复律组给予转复窦性心律治疗,控率组给予控制心室率治疗。于治疗前、治疗3个月后评价生活质量(QOL)以及不良反应。结果治疗后复律组与控率组缓解率分别为68.65%和31.34%,复律组QOL各项评分显著改善(P<0.05或0.01),控率组仅肌体疼痛和社会功能评分得到改善。治疗后复律组与控率组各项评分比较差异均有统计学意义(P<0.05或0.01)。不良反应两组间无明显差异(P>0.05)。结论恢复窦性心律能改善心房颤动患者近期的生活质量。
Objective To compare the effects of ventricular rate control and sinus rhythm restoration on short-term quality of life（QOL） in patients with atrial fibrillation（AF）. Methods 134 patients with AF were randomly divided into ventricular rate control group （rate control group, n=67） and sinus rhythm restoration group （cardioversion group, n=67）, and received rate- and rhythm-control therapies, respectively. QOL and adverse reaction were evaluated before and 3 months later after treatment. Results Sinus rhythm was restored in 68.65% patients in cardioversion group and 31.34% patients in rate control group after treatment. All scores were improved significantly in cardioversion group, while only bodily pain and social function were improved significantly in rate control group. There was significant difference of each QOL score between two groups （P〈0.05 or 0.01） after treatment. Adverse reactions were not significantly different between two groups （P 〉0.05）. Conclusion Sinus rhythm restoration improves short-term quality of life in patients with previous AF.
出处
《心电与循环》
2013年第3期177-179,共3页
Journal of Electrocardiology and Circulation
关键词
心房颤动
心室率
生活质量
复律
Atrial fibrillation
Ventricular rate
Quality of life
Cardioversion
