摘要
目的探讨射频消融治疗对不同类型心房颤动患者的抑郁状态及其生活质量的影响。方法筛选97例患者,其中41例阵发性心房颤动,56例持续性心房颤动,比较阵发性心房颤动和持续性心房颤动射频消融术前和随访6个月的复发率、左房内径、SDS量表积分、NHP量表积分。结果术后随访6个月,阵发性心房颤动组复发率明显低于持续性心房颤动组(P<0.05),阵发性心房颤动组左房内径明显缩小(P<0.05);NHP量表第一部分中,两组除疼痛外,其余5项均有改善(P<0.05);NHP量表第二部分中,阵发性心房颤动组在工作等各生活领域均明显好转(P<0.05),而持续性心房颤动组在工作、家庭生活、性生活及兴趣爱好方面改善不明显(P>0.05)。结论与持续性心房颤动患者相比,射频消融能够更好地改善阵发性心房颤动患者的左房内径、抑郁状态和生活质量。
Objective To investigate the effects of radiofrequency catheter ablation on depression and life quality of patients with different types of atrial fibrillation. Methods Totally 97 patients were screened, which were divided into paroxysmal atrial fibrillation group （n=41） and persistent atrial fibrillation group （n=56）. Differences in depression and quality of life between the two groups were compared. The surgery recurrence rate, left atrial diameter, the self-rating depression scale （SDS）, and nottingham health profile （NHP） were completed at baseline and follow-up for 6 months. Results After followed up of 6 months, radiofrequency catheter ablation recurrence rate in paroxysmal atrial fibrillation group was significantly lower than that in persistent atrial fibrillation group（P〈0.05）. The left atrial diameter was significantly reduced in paroxysmal atrial fibrillation group （P〈0.05）. There was a significant improvement in part one of NHP scale for two groups after followed up of 6 months（except for pain）. The current health status of paroxysmal atri- al fibrillation group were significantly improved（P〈0.05）, while the work, home life, sex life and interests of persis- tent atrial fibrillation group were not improved （P〉0.05）. Conclusion Compared with persistent atrial fibrillation group, catheter ablation could improve left atrial diameter, depression and quality of life in paroxysmal atrial fibrillation group more effectively.
出处
《中国现代医生》
2016年第13期5-8,共4页
China Modern Doctor
关键词
射频消融术
心房颤动
抑郁状态
生活质量
Radiofrequency catheter ablation
Atrial fibrillation
Depression
Quality of life
