CAJ | 학술논문

目的：探讨心房颤动（AF）环肺静脉消融术(CPVA)后早期复发预测因素。方法收集2010年1月～2013年10月江苏省徐州市中心医院收治的阵发性AF患者120例，实施CPVA进行治疗，根据术后是否复发分为复发组（38例）和未复发组（82例），探讨术后早期复发的预测因素。结果经单因素分析显示，高血压、P波离散度、左心房内径、术前及术后NT-proBNP水平以及AF持续时间均与术后复发密切相关（P<0.05）；经多因素分析显示，P波离散度以及术前NT-proBNP是术后复发的预测因素。结论 P波离散度以及术前NT-proBNP是CPVA术后复发的预测因素，P波离散度提高能够预测复发，而术前NT-proBNP提高则提示AF易感性增强，亦可预测术后复发。
목적：탐토심방전동（AF）배폐정맥소융술(CPVA)후조기복발예측인소。방법수집2010년1월～2013년10월강소성서주시중심의원수치적진발성AF환자120례，실시CPVA진행치료，근거술후시부복발분위복발조（38례）화미복발조（82례），탐토술후조기복발적예측인소。결과경단인소분석현시，고혈압、P파리산도、좌심방내경、술전급술후NT-proBNP수평이급AF지속시간균여술후복발밀절상관（P<0.05）；경다인소분석현시，P파리산도이급술전NT-proBNP시술후복발적예측인소。결론 P파리산도이급술전NT-proBNP시CPVA술후복발적예측인소，P파리산도제고능구예측복발，이술전NT-proBNP제고칙제시AF역감성증강，역가예측술후복발。
Objective To investigate the forecast factors of early recurrence of Atrial fibrillation (ERAF)after circumferential pulmonary vein ablation (CPVA). Method 120 patients with paroxysmal atrial fibrillation who underwent CPVA from January 2010 to October 2013 in the hospital were stdied. All patients were divided into recurrence group (40 cases) and non-recurrence group (80 cases) according to hether postoperative relapse. The predictors of ERAF after CPVA were explored. Results Univariate analysis showed that high blood pressure, P wave dispersion, Left atrial diameter, preoperative and postoperative NT-proBNP levels , AF duration were property closely associated with recurrence (P<0.05);Multivariate analysis showed that P wave dispersion and preoperative NT-proBNP were the predictor of recurrence. Conclusion P wave dispersion and preoperative NT-proBNP is a predictor of ERAF after CPVA, P wave dispersion improved ability to predict recurrence and improve preoperative NT-proBNP is prompted increased susceptibility to atrial fibrillation, can predict postoperative relapse.