摘要
目的探究在人工瓣膜置换中行房颤双极射频消融术治疗重症心脏瓣膜病的临床效果。方法随机选取2013年4月—2014年4月在该院接受治疗的80例重症心脏瓣膜病患者作为研究对象,并随机分为对照组和观察组,每组40例。给予对照组患者进行人工瓣膜置换术,对观察组实施人工瓣膜置换术的同时行房颤双极射频消融术。比较分析两组患者的术期情况和一年后的心脏彩超情况。结果对照组患者的即刻窦性心律恢复率为17.50%,明显低于观察组的90.00%;在一年后的心脏彩超中,观察组的左房内径为(39.64±5.07)mm、肺动脉收缩压为(35.17±4.97)mm Hg、左室射血分数为(57.09±5.87)%,对照组的相应值分别为(48.71±6.36)mm、(40.19±5.38)mm Hg、(50.28±6.31)%,两组相比差异具有统计学意义(P<0.05)。结论在人工瓣膜置换中行房颤双极射频消融术治疗重症心脏瓣膜病效果显著,值得临床推广应用。
Objective To discuss the clinical effect of bipolar radiofrequency ablation for atrial fibrillation combined with artificial valve replacement in the treatment of severe valvular heart disease. Methods 80 patients with severe valvular heart disease treated in our hospital during April 2013 and April 2014 were selected as the research object and randomly divided into control group and observation group with 40 in each. The patients in the control group were treated with artificial valve replacement, while those in the observation group underwent simultaneous surgical treatment of artificial valve replacement and bipolar radiofrequency ablation for atrial fibrillation. Patient＇s situation during operation and color doppler ultrasound examination one year later were compared between the two groups. Results Immediate recovery rate of sinus rhythm of the patients in the control group was obviously lower than that in the observation group, 17.50% vs 90.00%. Color doppler ultrasound examination one year later showed that left atrial dimension, pulmonary artery systolic pressure and left ventricular ejection fraction were（39.64±5.07）mm、（35.17±4.97）mm Hg、（57.09±5.87）% in the observation group, while those were（48.71±6.36）mm、（40.19±5.38）mm Hg、（50.28±6.31）%, and the differences were statistically significant,P〈0.05. Conclusion Simultaneous surgical treatment of artificial valve replacement and bipolar radiofrequency ablation for atrial fibrillation is worthy of clinical application in the treatment of severe valvular heart disease due to its good effect.
出处
《中外医疗》
2015年第22期93-94,共2页
China & Foreign Medical Treatment
关键词
人工瓣膜置换
治疗
重症心脏瓣膜病
Artificial valve replacement
Treatment
Severe valvular heart disease
