中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
11期
44-46
,共3页
射频消融术%室性早搏%治疗
射頻消融術%室性早搏%治療
사빈소융술%실성조박%치료
Radiofrequency ablation%Ventricular premature beat%Treatment
目的：对射频消融术治疗室性早搏的临床效果进行分析。方法：对2012年4月-2013年4月期间在本院治疗室性早搏的60例患者进行临床研究，随机分为对照组和观察组，每组各30例，对照组室性早搏患者口服西药心律平进行治疗，研究组室性早搏患者实施射频消融术进行治疗，观察并分析两组的治疗效果。结果：对照组室性早搏患者的显效率为56.7%，总有效率为73.3%，研究组室性早搏患者的显效率为93.3%，总有效率为100%，两组比较差异有统计学意义（P<0.05）；研究组室性早搏患者接受治疗后的复发率为6.7%，明显低于对照组的33.3%，差异有统计学意义（P<0.05）；对照组室性早搏患者治疗后有3例患者出现药物不良反应及相关严重并发症，研究组室性早搏患者治疗后未发现有不良反应及相关严重并发症出现。24 h动态心电图比较显示，研究组患者出现二联律、三联律的次数均为0，室早总数为（168±86）次，均明显低于对照组，两组比较差异均有统计学意义（P<0.01）。结论：射频消融术治疗室性早搏的临床效果较好，成功率较高，复发率较低，并发症比较少，可在临床上进行推广使用。
目的：對射頻消融術治療室性早搏的臨床效果進行分析。方法：對2012年4月-2013年4月期間在本院治療室性早搏的60例患者進行臨床研究，隨機分為對照組和觀察組，每組各30例，對照組室性早搏患者口服西藥心律平進行治療，研究組室性早搏患者實施射頻消融術進行治療，觀察併分析兩組的治療效果。結果：對照組室性早搏患者的顯效率為56.7%，總有效率為73.3%，研究組室性早搏患者的顯效率為93.3%，總有效率為100%，兩組比較差異有統計學意義（P<0.05）；研究組室性早搏患者接受治療後的複髮率為6.7%，明顯低于對照組的33.3%，差異有統計學意義（P<0.05）；對照組室性早搏患者治療後有3例患者齣現藥物不良反應及相關嚴重併髮癥，研究組室性早搏患者治療後未髮現有不良反應及相關嚴重併髮癥齣現。24 h動態心電圖比較顯示，研究組患者齣現二聯律、三聯律的次數均為0，室早總數為（168±86）次，均明顯低于對照組，兩組比較差異均有統計學意義（P<0.01）。結論：射頻消融術治療室性早搏的臨床效果較好，成功率較高，複髮率較低，併髮癥比較少，可在臨床上進行推廣使用。
목적：대사빈소융술치료실성조박적림상효과진행분석。방법：대2012년4월-2013년4월기간재본원치료실성조박적60례환자진행림상연구，수궤분위대조조화관찰조，매조각30례，대조조실성조박환자구복서약심률평진행치료，연구조실성조박환자실시사빈소융술진행치료，관찰병분석량조적치료효과。결과：대조조실성조박환자적현효솔위56.7%，총유효솔위73.3%，연구조실성조박환자적현효솔위93.3%，총유효솔위100%，량조비교차이유통계학의의（P<0.05）；연구조실성조박환자접수치료후적복발솔위6.7%，명현저우대조조적33.3%，차이유통계학의의（P<0.05）；대조조실성조박환자치료후유3례환자출현약물불량반응급상관엄중병발증，연구조실성조박환자치료후미발현유불량반응급상관엄중병발증출현。24 h동태심전도비교현시，연구조환자출현이련률、삼련률적차수균위0，실조총수위（168±86）차，균명현저우대조조，량조비교차이균유통계학의의（P<0.01）。결론：사빈소융술치료실성조박적림상효과교호，성공솔교고，복발솔교저，병발증비교소，가재림상상진행추엄사용。
Objective:To analyze the clinical application effects of Ventricular premature beat treated by radiofrequency ablation. Method:60 patients who suffered from the ventricular premature beat and who accepted treatment in our hospital from April 2012 to April 2013 were selected as the research objects,and were randomly divided into the control group and the observation group,30 patients in each group. In the control group,the patients suffered from the ventricular premature beat were treated with the propafenone,while in the observation group,the patients suffered from the ventricular premature beat were treated with radiofrequency ablation. Then,the treatment effects of these two groups were analyzed and compared. Result:In the control group,the significant effective rate of these patients was 56.7%and the total effective rate was 73.3%. However,in the observation group,the significant effective of these patients was 93.3%and the total effective rate was 100%. Thus,the differences were evident and there were statistical significance(P<0.05). In addition,in the observation group,the recurrence rate of these patients after the treatment was 6.7%,which was evidently lower than 33.3%in the control group,the difference was statistically significant(P<0.05). Furthermore,after treatment,3 patients in the control group suffered from the adverse drug reaction and the related serious complications. However,in the observation group no patients suffered from the adverse drug reaction and the related serious complications.In addition,according to the 24-hour dynamic electrocardiogram,the time of bigeminy coupled rhythm and the trigeminal beats in the observation group was 0 and the total number of early room were(168±86),which was evidently lower that that in the control group ,the differences were statistically significant(P<0.01).Conclusion:The clinical application effects of ventricular premature beat treated by radiofrequency ablation is good and has high success rate and low recurrence rate. In addition,the complications are few. Thus,it should be promoted in the clinic applications.
