医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
21期
299-300
,共2页
起搏%血清脑钠肽%功能
起搏%血清腦鈉肽%功能
기박%혈청뇌납태%공능
Pacing%Brain natriuretic peptide%Heart function
目的：比较右室中位间隔部起搏与右室心尖部起搏对患者血清脑钠肽（brain natriuretic peptide,BNP）的影响。方法选取因高度及III度房室传导阻滞植入双腔起搏器的患者入选本研究，依据心室电极植入部位分为右室中位间隔组（right ventricular middle septum,RVMS）及右室心尖部组（right ventricular apex,RVA），术后随访3个月，比较两组患者术前及术后BNP值。结果共入选了36例患者，术前两组患者均无心功能不全的表现，术后3个月随访，RVA组患者血BNP值明显高于RVMS组（110.2±0.5 ng/mL vs 60.8±0.3 ng/mL），其差异有统计学意义。结论右室中位间隔部起搏对血清脑钠肽影响较小。
目的：比較右室中位間隔部起搏與右室心尖部起搏對患者血清腦鈉肽（brain natriuretic peptide,BNP）的影響。方法選取因高度及III度房室傳導阻滯植入雙腔起搏器的患者入選本研究，依據心室電極植入部位分為右室中位間隔組（right ventricular middle septum,RVMS）及右室心尖部組（right ventricular apex,RVA），術後隨訪3箇月，比較兩組患者術前及術後BNP值。結果共入選瞭36例患者，術前兩組患者均無心功能不全的錶現，術後3箇月隨訪，RVA組患者血BNP值明顯高于RVMS組（110.2±0.5 ng/mL vs 60.8±0.3 ng/mL），其差異有統計學意義。結論右室中位間隔部起搏對血清腦鈉肽影響較小。
목적：비교우실중위간격부기박여우실심첨부기박대환자혈청뇌납태（brain natriuretic peptide,BNP）적영향。방법선취인고도급III도방실전도조체식입쌍강기박기적환자입선본연구，의거심실전겁식입부위분위우실중위간격조（right ventricular middle septum,RVMS）급우실심첨부조（right ventricular apex,RVA），술후수방3개월，비교량조환자술전급술후BNP치。결과공입선료36례환자，술전량조환자균무심공능불전적표현，술후3개월수방，RVA조환자혈BNP치명현고우RVMS조（110.2±0.5 ng/mL vs 60.8±0.3 ng/mL），기차이유통계학의의。결론우실중위간격부기박대혈청뇌납태영향교소。
Objective:Compare the ef ects of dif erent pacing site on serum brain natriuretic peptide (BNP). Methods: Patients with atrioventricular block received dual chamber pacemaker were encol ed in our study. Ventricular lead were randomized to right ventricular middle septum and right ventricular apex. Patients were fol ow-up 3 months after operation and BNP were measured. Results: 36 patients were include in this study. There is no dif erence between baseline ventricular function in two groups .The BNP value were higher in RVMS group than RVA group ( 110.2±0.5 ng/ml vs 60.8±0.3 ng/ml). Conclusion: Right ventricular middle septum pacing have minor ef ects in BNP.
