中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2009年
9期
811-813
,共3页
心房颤动%起搏频率%生活质量%6min步行试验
心房顫動%起搏頻率%生活質量%6min步行試驗
심방전동%기박빈솔%생활질량%6min보행시험
Atrial fibrillation%Pacing rate%Quality of life%6 minutes walk test
目的 探讨心房颤动患者右心室不同频率起搏对生活质量的影响.方法 以植入永久心脏起搏器前的自身平均心率(AHR)调节起搏频率,分别以(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+5)bpm、(AHR+10)bpm起搏1个月,测量起搏前后的生活质量及6min步行距离.结果 以(AHR+5)bpm起搏时生活质量明尼苏达州心力衰竭生活质量问卷调查分数(innestota living with heart questionnaire,MLHFQ)明显低于以(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+10)bpm起搏时[MLHFQ总评分(36.0±14.59)分,(42.0±15.48)分,(41.1±14.69)分,(38.3±14.48)分,(39.1±14.75)分,身体领域评分(22.5±6.22)分,(26.8±7.24)分,(26.2±6.31)分,(25.3±5.20)分,(25.7±7.15)分,情绪领域评分(13.0±3.62)分,(17.6±4.35)分,(16.8±5.16)分,(16.1±4.19)分,(15.2±4.17)分,均P<0.05],6min步行距离高于以(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+10)bpm起搏时[(454.1±43.45)m,(420.2±46.05)m,(428.3±44.67)m,(428.3±44.67)m,(434.7±42.87)m,(429.5±44.51)m,均P<0.05].结论 心房颤动患者行VVI起搏后,以(AHR+5)bpm起搏,可明显改善患者的生活质量和心脏功能.
目的 探討心房顫動患者右心室不同頻率起搏對生活質量的影響.方法 以植入永久心髒起搏器前的自身平均心率(AHR)調節起搏頻率,分彆以(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+5)bpm、(AHR+10)bpm起搏1箇月,測量起搏前後的生活質量及6min步行距離.結果 以(AHR+5)bpm起搏時生活質量明尼囌達州心力衰竭生活質量問捲調查分數(innestota living with heart questionnaire,MLHFQ)明顯低于以(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+10)bpm起搏時[MLHFQ總評分(36.0±14.59)分,(42.0±15.48)分,(41.1±14.69)分,(38.3±14.48)分,(39.1±14.75)分,身體領域評分(22.5±6.22)分,(26.8±7.24)分,(26.2±6.31)分,(25.3±5.20)分,(25.7±7.15)分,情緒領域評分(13.0±3.62)分,(17.6±4.35)分,(16.8±5.16)分,(16.1±4.19)分,(15.2±4.17)分,均P<0.05],6min步行距離高于以(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+10)bpm起搏時[(454.1±43.45)m,(420.2±46.05)m,(428.3±44.67)m,(428.3±44.67)m,(434.7±42.87)m,(429.5±44.51)m,均P<0.05].結論 心房顫動患者行VVI起搏後,以(AHR+5)bpm起搏,可明顯改善患者的生活質量和心髒功能.
목적 탐토심방전동환자우심실불동빈솔기박대생활질량적영향.방법 이식입영구심장기박기전적자신평균심솔(AHR)조절기박빈솔,분별이(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+5)bpm、(AHR+10)bpm기박1개월,측량기박전후적생활질량급6min보행거리.결과 이(AHR+5)bpm기박시생활질량명니소체주심력쇠갈생활질량문권조사분수(innestota living with heart questionnaire,MLHFQ)명현저우이(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+10)bpm기박시[MLHFQ총평분(36.0±14.59)분,(42.0±15.48)분,(41.1±14.69)분,(38.3±14.48)분,(39.1±14.75)분,신체영역평분(22.5±6.22)분,(26.8±7.24)분,(26.2±6.31)분,(25.3±5.20)분,(25.7±7.15)분,정서영역평분(13.0±3.62)분,(17.6±4.35)분,(16.8±5.16)분,(16.1±4.19)분,(15.2±4.17)분,균P<0.05],6min보행거리고우이(AHR-10)bpm、(AHR-5)bpm、(AHR)bpm、(AHR+10)bpm기박시[(454.1±43.45)m,(420.2±46.05)m,(428.3±44.67)m,(428.3±44.67)m,(434.7±42.87)m,(429.5±44.51)m,균P<0.05].결론 심방전동환자행VVI기박후,이(AHR+5)bpm기박,가명현개선환자적생활질량화심장공능.
Objective To explore the influence of different pacing rate in risht ventricle on quality of life.Methods Pacing rate was based on the average heart rate(AHR)obtained before implanting pacemaker.Minnestota living with heart failure questionnaire(MLHFQ)and 6 minutes walk test(6MWT)were performed before implanting pacemaker and afer pacing by(AHR-10)bpm,(AHR-5)bpm,(AHR)bpm,(AHR+5)bpm,(AHR+10)bpm respectively one month.Results The total score of MLHFQ,the Score of physical dimentions,the score of emotion dimensions was lower than pacing with rate of(AHR-10)bpm,(AHR-5)bpm,(AHR)bpm,(AHR+10)bpm(36.0±14.59 vs 42.0±15.48,41.1±14.69,38.3±14.48,39.1±14.75,22.5±6.22 VS 26.8±7.24,26.2±6.31,25.3±5.20,25.7±7.15,13.0±3.62 VS 17.6±4.35,16.8±5.16,16.1±4.19,15.2±4.17,P＜0.05,respectively),the distance of6 minutes walk test(6MWT)was higher than pacing with rate of (AHR-10)bpm,(AHR-5)bpm,(AHR)bpm,(AHR+10)bpm[(454.1±43.45)m VS(420.2±46.05)m,(428.3±44.67)m,(428.3±44.67)m,(434.7±42.87)m,(429.5±44.51)m,P＜0.05,respectively]at the pacing rate of(AHR+5)bpm.Conclusion Patients with atrial fibrillation after VVI pacing not only have a better quality of life but also have a better heart function at the pacing rate of(AHR+5)bpm.
