食管心房调搏术用于阵发性室上性心动过速的治疗效果分析
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摘要
目的:在治疗阵发性室上性心动过速中对应用食道调搏术的终止方法治疗效果进行探讨。方法:选取某院2015年10月～2017年8月期间收治的104例阵发性室上性心动过速患者,其中52例为房室折返性心动过速(AVRT组),其余52例为房室结内折返性心动过速(AVNRT组),对两组患者均采用超速抑制法与猝发脉冲法进行治疗,对比治疗效果及成功率。结果:终止成功率方面,AVRT组中,超速抑制法为61.54%,猝发脉冲法为88.46%,两种方法差异显著,有统计学意义,P<0.05;AVNRT组中,超速抑制法为69.23%,猝发脉冲法为92.31%,两种方法差异显著,有统计学意义,P<0.05。结论:与超速抑制法相比,猝发脉冲法对终止室上性心动过速的诊治成功率更高,值得推广。
Objective:To investigate the therapeutic effect of esophageal pacing in the treatment of paroxysmal supraventricular tachycardia(PSVT).Methods:104patients of PSVT admitted in a hospital from October 2015 to August 2017 were divided into the AVRT group and the AVNRT group.52 cases were atrioventricular reentrant tachycardia(AVRT group),the remaining 52 cases were reentrant tachycardia in atrioventricular junction(AVNRT group).Overdive soppand and burst pulse were used in both groups,compared the treatment effect and success rate.Results:The success rate of overdive soppand was 61.54%,burst pulse method was 88.46%in the AVRT group,the difference between the two methods was significant and statistically significant(P<0.05).In the AVNRT group,the overdive soppand method was 69.23%and the burst pulse method was 92.31%,the difference between the two methods was significant and statistically significant(P<0.05).Conclusion:Comparing with overdive soppand,the successful rate of diagnosis and treatment of supraventricular tachycardia is higher by burst pulse method,which is worth popularizing.
Objective:To investigate the therapeutic effect of esophageal pacing in the treatment of paroxysmal supraventricular tachycardia(PSVT).Methods:104patients of PSVT admitted in a hospital from October 2015 to August 2017 were divided into the AVRT group and the AVNRT group.52 cases were atrioventricular reentrant tachycardia(AVRT group),the remaining 52 cases were reentrant tachycardia in atrioventricular junction(AVNRT group).Overdive soppand and burst pulse were used in both groups,compared the treatment effect and success rate.Results:The success rate of overdive soppand was 61.54%,burst pulse method was 88.46%in the AVRT group,the difference between the two methods was significant and statistically significant(P<0.05).In the AVNRT group,the overdive soppand method was 69.23%and the burst pulse method was 92.31%,the difference between the two methods was significant and statistically significant(P<0.05).Conclusion:Comparing with overdive soppand,the successful rate of diagnosis and treatment of supraventricular tachycardia is higher by burst pulse method,which is worth popularizing.
引文
1景秀香.阵发性室上性心动过速54例食道调搏电生理研究.中国医药导报,2011,28(21):170~171.
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4 董巧玲,高雯.经食道调搏诊疗阵发性室上速40例临床分析.疾病监测与控制,2013,5(27):311~313.
5 胡华琴.经食道心房调搏诊疗快速型心律失常的价值分析.深圳中西医结合杂志,2015,4(13):62~63.
6 王立飞,李遵守,甄立业.食道调搏技术在快速折返性心动过速诊治中的作用.中国农村卫生,2015,20(22):84.
7 史习宝,岑镇波,胡海雷.经食道心房调搏诊治药物难治性室上性心动过速的应用价值.现代实用医学,2013,9(14):1006~1007.
8 Artier A,Kaik J,Meigas K.A Novel Method for ReduciIlg Pain Sensationat Trarme”Phageal Atrial Stimulation.Cod Proe IEEE Eng Med Bid S0c,2007,923~926.
9 王置娣,蒋萍,韩宏伟.经食管心房调搏对阵发性室上性心动过速的诊断价值.心电学杂志,2004,23(4):202~204.
10 Oner S,Celiker A,Karagz T,et al.Trame”Phageal Electtophysiologie Study in Children and Young Patients.Turk J Pediatr,2007,49(1):45~51.
11 张翠芬,杨军,李卫,等.食道心房调搏在诊断室上性心动过速中的临床应用.云南医药,2010,02(11):179~181.
2 陈次滨,赖海清.经食道心房调搏术诊治快速型心律失常的应用价值.岭南心血管病杂志,2010,1(9):45~47.
3 章艳萍,张宏考,肖美娟.食道电生理检查对快速性心律失常诊治的临床应用.中西医结合心脑血管病杂志,2013,3(18):313~314.
4 董巧玲,高雯.经食道调搏诊疗阵发性室上速40例临床分析.疾病监测与控制,2013,5(27):311~313.
5 胡华琴.经食道心房调搏诊疗快速型心律失常的价值分析.深圳中西医结合杂志,2015,4(13):62~63.
6 王立飞,李遵守,甄立业.食道调搏技术在快速折返性心动过速诊治中的作用.中国农村卫生,2015,20(22):84.
7 史习宝,岑镇波,胡海雷.经食道心房调搏诊治药物难治性室上性心动过速的应用价值.现代实用医学,2013,9(14):1006~1007.
8 Artier A,Kaik J,Meigas K.A Novel Method for ReduciIlg Pain Sensationat Trarme”Phageal Atrial Stimulation.Cod Proe IEEE Eng Med Bid S0c,2007,923~926.
9 王置娣,蒋萍,韩宏伟.经食管心房调搏对阵发性室上性心动过速的诊断价值.心电学杂志,2004,23(4):202~204.
10 Oner S,Celiker A,Karagz T,et al.Trame”Phageal Electtophysiologie Study in Children and Young Patients.Turk J Pediatr,2007,49(1):45~51.
11 张翠芬,杨军,李卫,等.食道心房调搏在诊断室上性心动过速中的临床应用.云南医药,2010,02(11):179~181.