CAJ | 학술논문

目的：研究射频消融治疗的小儿阵发性室上性心动过速的发生特点及性别和年龄差异。 　　方法：总结2008-01-01至2012-06-30期间，因阵发性室上性心动过速在我院住院并接受心内电生理检查+射频消融手术治疗的患儿（<14岁）。根据室上性心动过速的特点以及性别和年龄进行分析。 　　结果：共入院442例患儿，其中男性患儿284例，女性患儿158例，平均体重（33.70±12.52）kg（13~80 kg）。入院患儿的平均年龄为（11.70±2.52）岁（3岁~14岁），其中3~6岁50例，7~10岁74例，11~14岁318例，442例患儿中房室旁路266例（男性患儿188例,女性患儿78例），房室结折返性心动过速176例（男性患儿96例,女性患儿80例）。房室旁路介导的心动过速的发生率随着年龄的增长而减少，房室结折返性心动过速的发生率随着年龄的增长而增加（P<0.05）。11~14岁患儿中房室旁路介导的心动过速和房室结折返性心动过速有明显的性别差异，女性患儿更容易发生房室结折返性心动过速（P<0.05）；而在10岁以下患儿中则没有明显的性别差异。 　　结论：小儿阵发性室上性心动过速的发生与性别和年龄是相关的。由房室旁路介导的心动过速随着年龄的增加而减少。在11~14岁患儿中女性患儿比男性患儿更容易发生房室结折返性心动过速。
목적：연구사빈소융치료적소인진발성실상성심동과속적발생특점급성별화년령차이。 　　방법：총결2008-01-01지2012-06-30기간，인진발성실상성심동과속재아원주원병접수심내전생리검사+사빈소융수술치료적환인（<14세）。근거실상성심동과속적특점이급성별화년령진행분석。 　　결과：공입원442례환인，기중남성환인284례，녀성환인158례，평균체중（33.70±12.52）kg（13~80 kg）。입원환인적평균년령위（11.70±2.52）세（3세~14세），기중3~6세50례，7~10세74례，11~14세318례，442례환인중방실방로266례（남성환인188례,녀성환인78례），방실결절반성심동과속176례（남성환인96례,녀성환인80례）。방실방로개도적심동과속적발생솔수착년령적증장이감소，방실결절반성심동과속적발생솔수착년령적증장이증가（P<0.05）。11~14세환인중방실방로개도적심동과속화방실결절반성심동과속유명현적성별차이，녀성환인경용역발생방실결절반성심동과속（P<0.05）；이재10세이하환인중칙몰유명현적성별차이。 　　결론：소인진발성실상성심동과속적발생여성별화년령시상관적。유방실방로개도적심동과속수착년령적증가이감소。재11~14세환인중녀성환인비남성환인경용역발생방실결절반성심동과속。
Objectives: To investigate the gender and age differences for radiofrequency catheter ablation (RFCA) in pediatric patients with paroxysmal supra-ventricular tachycardia (SVT). Methods: A total of 442 consecutive pediatric patients with paroxysmal SVT admitted in our hospital from 2008-01-01 to 2012-06-30 were summarized. All patients received electro-physiological examination and RFCA treatment, the characteristics of SVT with the gender and age were analyzed. Results: There were 284 male and 158 female with the mean body weight of (33.70 ± 12.52) kg at (13-80) kg and the mean admission age of (11.70 ± 2.52) years at (3-14) years including 50 patients at (3-6) years, 74 patients at (7-10) years and 318 patients at (11-14) years of age. There were 266/442 patients with accessory pathways (APs) including 188 male, 78 female and 176 patients with atrioventricular node reentry tachycardia (AVNRT) including 96 male and 80 female. The occurrence rate of APs was decreasing with the age increasing, while the occurrence rate of AVNRT was increasing with the age increasing accordingly, P<0.05. In patients at (11-14) years, there were signiifcant gender differences for APs and AVNRT occurrence, more pediatric female patients suffering from AVNRT, P<0.05, while the patients younger than 11 years had no obvious gender differences for relevant disease. Conclusion: Paroxysmal SVT in pediatric patients is related to their gender and age.