ST导管应用治疗持续房颤的射频消融临床探讨.pdfVIP

中外医疗 2015 NO.15 ChinaForeign MedicalTreatment ST导管应用治疗持续房颤的射频消融临床探讨 孙俊华袁袁义强袁赵育洁袁于力袁王瑞敏袁孙运袁牛思泉袁胥良 郑州市心血管病医院心内科,河南郑州 450017 [摘要] 目的探讨ST导管在持续房颤射频消融中的应用效果遥 方法 以我院2014年3要12月期间所收治68例持续房颤患 者作为研究对象袁分为两组遥均应行射频消融术进行治疗袁对照组应用普通盐水灌注导管袁观察组应用ST管袁比较两组消融 时间尧透视时间尧并发症发生率及随访期间复发率遥 结果观察组消融时间尧透视时间为渊152.4依13.5冤min尧渊37.2依9.2冤min袁差异有 统计学意义渊P约0.05冤遥观察组并发症发生率为5.8%袁复发率为11.8%袁对照组为23.5%尧29.4%袁观察组均显著低于对照组袁差 异有统计学意义渊P约0.05冤遥 结论ST导管在持续房颤射频消融中的应用利于术者更好掌握导管与心房壁贴靠度袁有效降低 并发症发生率与复发率袁缩短术中消融时间与透视时间袁具有较高临床应用价值遥 [关键词] ST导管曰持续房颤曰射频消融曰贴靠 [中图分类号] R59 [文献标识码] A [文章编号] 1674-074圆渊圆园员5冤05渊c冤原园012-02 Application of ST Catheter in Radiofrequency Ablation for Persistent Atrial Fibrillation SUNJun-hua, YUANYi-qiang,ZHAO Yu-jie,YULi,WANG Ri-min, SUN Yun,NIUSi-quan,XU Liang DepartmentofCardiology,the CardiovascularHospitalofZhengzhou City,Zhengzhou,HenanProvince,450017 China [Abstract]ObjectiveTo observethe curative effect of STcatheterapplicatedin radiofrequency ablationtreatingfor sustained atri鄄 alfibrillation. Methods 68 cases patients with continuous atrial fibrillation treated in our hospital during March 2014-December 2014 were selected as the research object and divided them into two groups. All the patients were given radiofrequency ablation treatmentwith control group(n=34)by normal saline irrigation catheter and observation group(n=34) by ST catheter. Ablation time, perspectivetime,complicationsandrecurrence duringthefollow-up period ofthe two groupswere compared. ResultsThe ablation time ofthe observation andthe control groupwas (152.4+13.5)min vs 渊117.3依17.5冤min; the perspective time of the observation andthe contralgroupwas (37.2+9.2)minvs 渊25.4依7.0冤min,andthe differencesbetweentwo groupswere statistically significant (P0.05).Thecomplication rate andrecurrence rate ofthe observation group ,5.8%and 11.8%,r