中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
21期
44-45,100
,共3页
心脏起搏器综合征%心室失同步化%收缩功能
心髒起搏器綜閤徵%心室失同步化%收縮功能
심장기박기종합정%심실실동보화%수축공능
Cardiac pacemaker syndrome%Ventricular asynchrony%Systolic function
目的：探讨心脏起搏器综合征患者心室失同步化和收缩功能的变化的临床意义。方法2010年5月～2012年5月我院因慢室率心房颤动（房颤）而安置VVI型起搏器的患者152例中，产生PMS患者19例（PMS组），其他133例未产生PMS的患者中，随机选取20例患者（无PMS组），另选取20例房颤未安置起搏器的患者作为对照组。所有患者均用组织多普勒影像技术测定左、右心室侧壁和室间隔的收缩峰值速度（Vs）、加速度（As）和达峰时（Ts）。结果 PMS组与无PMS组左、右心室侧壁的Vs、As与对照组比较，差异有统计学意义（P＜0.05）；PMS组与无PMS组之间Vs、As比较，差异无统计学意义（P＞0.05）；三组Vs、As比较室间隔收缩比较，差异无统计学意义（P＞0.05）。PMS组与无PMS组左、右心室侧壁与室间隔Ts较对照组显著延长（P＜0.05）；PMS组与无PMS比较，左室侧壁与室间隔Ts比较差异无统计学意义（P＞0.05），而右室侧壁与室间隔Ts比，差异有统计学意义（P＜0.05）。结论右室失同步化是PMS中的一个重要因素，而心室收缩功能的变化和左室失同步化并不重要。
目的：探討心髒起搏器綜閤徵患者心室失同步化和收縮功能的變化的臨床意義。方法2010年5月～2012年5月我院因慢室率心房顫動（房顫）而安置VVI型起搏器的患者152例中，產生PMS患者19例（PMS組），其他133例未產生PMS的患者中，隨機選取20例患者（無PMS組），另選取20例房顫未安置起搏器的患者作為對照組。所有患者均用組織多普勒影像技術測定左、右心室側壁和室間隔的收縮峰值速度（Vs）、加速度（As）和達峰時（Ts）。結果 PMS組與無PMS組左、右心室側壁的Vs、As與對照組比較，差異有統計學意義（P＜0.05）；PMS組與無PMS組之間Vs、As比較，差異無統計學意義（P＞0.05）；三組Vs、As比較室間隔收縮比較，差異無統計學意義（P＞0.05）。PMS組與無PMS組左、右心室側壁與室間隔Ts較對照組顯著延長（P＜0.05）；PMS組與無PMS比較，左室側壁與室間隔Ts比較差異無統計學意義（P＞0.05），而右室側壁與室間隔Ts比，差異有統計學意義（P＜0.05）。結論右室失同步化是PMS中的一箇重要因素，而心室收縮功能的變化和左室失同步化併不重要。
목적：탐토심장기박기종합정환자심실실동보화화수축공능적변화적림상의의。방법2010년5월～2012년5월아원인만실솔심방전동（방전）이안치VVI형기박기적환자152례중，산생PMS환자19례（PMS조），기타133례미산생PMS적환자중，수궤선취20례환자（무PMS조），령선취20례방전미안치기박기적환자작위대조조。소유환자균용조직다보륵영상기술측정좌、우심실측벽화실간격적수축봉치속도（Vs）、가속도（As）화체봉시（Ts）。결과 PMS조여무PMS조좌、우심실측벽적Vs、As여대조조비교，차이유통계학의의（P＜0.05）；PMS조여무PMS조지간Vs、As비교，차이무통계학의의（P＞0.05）；삼조Vs、As비교실간격수축비교，차이무통계학의의（P＞0.05）。PMS조여무PMS조좌、우심실측벽여실간격Ts교대조조현저연장（P＜0.05）；PMS조여무PMS비교，좌실측벽여실간격Ts비교차이무통계학의의（P＞0.05），이우실측벽여실간격Ts비，차이유통계학의의（P＜0.05）。결론우실실동보화시PMS중적일개중요인소，이심실수축공능적변화화좌실실동보화병불중요。
Objective To observe the changes of patients with ventricular asynchrony and systolic function of cardiac pacemaker. Methods 152 cases and placement of VVI pacemaker patients from May 2010 to May 2012 in my courtyard were collected with slow ventricular rate in atrial fibrillation(AF), 19 cases of PMS patients were collected as PMS group, among the other 133 cases without PMS patients, 20 patients were randomly selected as non PMS group, the other 20 cases of real fibrillation without pacemaker patients were collected as ascontrol group. All patients were treated with peak systolic velocity of left, right ventricular lateral wall and interventricular septum were measured by tissue Doppler imaging (Vs), acceleration (As) and time to peak (Ts). Results The Vs, As of PMS group and non PMS group of left, right ventricular lateral wall of compared with the control group, the difference was statistically significant (P < 0.05); Vs, As of PMS group and non PMS group compared, there was no significant difference (P>0.05);three groups of Vs, As septal systolic, there was no significant difference (P>0.05). PMS group and non PMS group of left, right ventricular wall and interventricular septal Ts were significantly longer than those of control group(P < 0.05); PMS group and non PMS comparison, left ventricular lateral wall and septal Ts not significant difference(P>0.05), and right ventricular wall and interventricular septum(Ts ratio, significant difference(P<0.05). Conclusion Right ventricular asynchrony is an important factor in PMS, and the changes of cardiac function and left ventricular asynchrony is not important.
