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
2013年
11期
1004-1006
,共3页
室性早搏%生活质量%射频导管消融
室性早搏%生活質量%射頻導管消融
실성조박%생활질량%사빈도관소융
Premature ventricular contractions%Quality of life%Radiofrequency catheter ablation
目的 探讨频发室性早搏(Premature ventricular contractions,PVCs)患者生活质量状况,以及射频导管消融对患者生活质量的影响.方法 采用健康状况调查问卷(SF-36)评定并比较60例健康体检正常者、100频发房性早搏(atrial premature contractions,APCs)患者与120例频发室性早搏患者的生活质量;然后,观察120例频发室性早搏患者中接受射频导管消融的患者与单纯药物治疗的患者3个月末的室性早搏减少情况及生活质量状况.结果 SF-36结果显示,与频发房性早搏患者相比,120例频发室性早搏患者的生理功能、精神健康明显受损,躯体疼痛表现明显增高(P值:0.0002～0.0380),其生活质量状况明显低于健康对照组(P值:0.0001～ 0.0315);48例接受射频导管消融的频发室性早搏患者3个月后的室性早搏显著少于72例单纯药物治疗者(t=18.8682,P＜0.01),生活质量状况也显著好于单纯药物治疗的患者(F值:15.329～39.274,P＜0.01).结论 频发室性早搏明显影响患者的生活质量,射频导管消融能够控制或消除患者的频发室性早搏,显著改善频发室性早搏患者的生活质量.
目的 探討頻髮室性早搏(Premature ventricular contractions,PVCs)患者生活質量狀況,以及射頻導管消融對患者生活質量的影響.方法 採用健康狀況調查問捲(SF-36)評定併比較60例健康體檢正常者、100頻髮房性早搏(atrial premature contractions,APCs)患者與120例頻髮室性早搏患者的生活質量;然後,觀察120例頻髮室性早搏患者中接受射頻導管消融的患者與單純藥物治療的患者3箇月末的室性早搏減少情況及生活質量狀況.結果 SF-36結果顯示,與頻髮房性早搏患者相比,120例頻髮室性早搏患者的生理功能、精神健康明顯受損,軀體疼痛錶現明顯增高(P值:0.0002～0.0380),其生活質量狀況明顯低于健康對照組(P值:0.0001～ 0.0315);48例接受射頻導管消融的頻髮室性早搏患者3箇月後的室性早搏顯著少于72例單純藥物治療者(t=18.8682,P＜0.01),生活質量狀況也顯著好于單純藥物治療的患者(F值:15.329～39.274,P＜0.01).結論 頻髮室性早搏明顯影響患者的生活質量,射頻導管消融能夠控製或消除患者的頻髮室性早搏,顯著改善頻髮室性早搏患者的生活質量.
목적 탐토빈발실성조박(Premature ventricular contractions,PVCs)환자생활질량상황,이급사빈도관소융대환자생활질량적영향.방법 채용건강상황조사문권(SF-36)평정병비교60례건강체검정상자、100빈발방성조박(atrial premature contractions,APCs)환자여120례빈발실성조박환자적생활질량;연후,관찰120례빈발실성조박환자중접수사빈도관소융적환자여단순약물치료적환자3개월말적실성조박감소정황급생활질량상황.결과 SF-36결과현시,여빈발방성조박환자상비,120례빈발실성조박환자적생리공능、정신건강명현수손,구체동통표현명현증고(P치:0.0002～0.0380),기생활질량상황명현저우건강대조조(P치:0.0001～ 0.0315);48례접수사빈도관소융적빈발실성조박환자3개월후적실성조박현저소우72례단순약물치료자(t=18.8682,P＜0.01),생활질량상황야현저호우단순약물치료적환자(F치:15.329～39.274,P＜0.01).결론 빈발실성조박명현영향환자적생활질량,사빈도관소융능구공제혹소제환자적빈발실성조박,현저개선빈발실성조박환자적생활질량.
Objective To investigate the quality of life (QOL) of patients with frequent premature ventricular contractions (PVCs) and the effects of radiofrequency catheter ablation (RFCA) on them.Methods 120 patients with frequent PVCs,100 cases with frequent APCs and 60 healthy persons were assessed by 36-Health survey questionnaire (SF-36) originally.Three months later,the QOL of 48 cases received RFCA and 72 cases with drug therapy were evaluated again by SF-36.Meanwhile,decrease of PVCs were also calculated between these two groups.Results The scores of physiological function and mental health in patients with PVCs were lower than that of cases with APCs,while the score of bodily pain in patients with PVCs was higher (P value:0.0002-0.0380).In addition,the quality of life in patients with frequent PVCs were worse than healthy control(P value:0.0001-0.0915).Three months later,PVCs in 48 cases with frequent PVCs received RFCA were much fewer than that of 72 cases with drug therapy (t=18.8682,P＜0.01),and the quality of life in the former was much better than the latter (F=15.329-39.274,P＜0.01).Conclusion Frequent PVCs can deteriorate the patients' quality of life.RFCA can control or eliminate PVCs in these patients and markedly improve the quality of life of them.
