CAJ | 학술논문

目的：探究在人工瓣膜置换中行房颤双极射频消融术治疗重症心脏瓣膜病的临床效果。方法随机选取2013年4月-2014年4月在该院接受治疗的80例重症心脏瓣膜病患者作为研究对象，并随机分为对照组和观察组，每组40例。给予对照组患者进行人工瓣膜置换术，对观察组实施人工瓣膜置换术的同时行房颤双极射频消融术。比较分析两组患者的术期情况和一年后的心脏彩超情况。结果对照组患者的即刻窦性心律恢复率为17.50%，明显低于观察组的90.00%；在一年后的心脏彩超中，观察组的左房内径为(39.64±5.07)mm、肺动脉收缩压为(35.17±4.97)mmHg、左室射血分数为(57.09±5.87)%，对照组的相应值分别为(48.71±6.36)mm、(40.19±5.38)mmHg、(50.28±6.31)%，两组相比差异具有统计学意义(P<0.05)。结论在人工瓣膜置换中行房颤双极射频消融术治疗重症心脏瓣膜病效果显著，值得临床推广应用。
목적：탐구재인공판막치환중행방전쌍겁사빈소융술치료중증심장판막병적림상효과。방법수궤선취2013년4월-2014년4월재해원접수치료적80례중증심장판막병환자작위연구대상，병수궤분위대조조화관찰조，매조40례。급여대조조환자진행인공판막치환술，대관찰조실시인공판막치환술적동시행방전쌍겁사빈소융술。비교분석량조환자적술기정황화일년후적심장채초정황。결과대조조환자적즉각두성심률회복솔위17.50%，명현저우관찰조적90.00%；재일년후적심장채초중，관찰조적좌방내경위(39.64±5.07)mm、폐동맥수축압위(35.17±4.97)mmHg、좌실사혈분수위(57.09±5.87)%，대조조적상응치분별위(48.71±6.36)mm、(40.19±5.38)mmHg、(50.28±6.31)%，량조상비차이구유통계학의의(P<0.05)。결론재인공판막치환중행방전쌍겁사빈소융술치료중증심장판막병효과현저，치득림상추엄응용。
Objective To discuss the clinical effect of bipolar radiofrequency ablation for atrial fibrillation combined with artificial valve replacement in the treatment of severe valvular heart disease. Methods 80 patients with severe valvular heart disease treated in our hospital during April 2013 and April 2014 were selected as the research object and randomly divided into control group and observation group with 40 in each. The patients in the control group were treated with artificial valve replacement, while those in the observation group underwent simultaneous surgical treatment of artificial valve replacement and bipolar radiofrequency ablation for atrial fibrillation. Patient's situation during operation and color doppler ultrasound examination one year later were compared between the two groups. Results Immediate recovery rate of sinus rhythm of the patients in the control group was obviously lower than that in the observation group, 17.50%vs 90.00%. Color doppler ultrasound examination one year later showed that left atrial dimension, pulmonary artery systolic pressure and left ventricular ejection fraction were (39.64±5.07)mm、(35.17±4.97)mmHg、(57.09±5.87)%in the observation group, while those were(48.71±6.36)mm、(40.19±5.38)mmHg、(50.28±6.31)%, and the differ-ences were statistically significant,P<0.05. Conclusion Simultaneous surgical treatment of artificial valve replacement and bipolar radiofrequency ablation for atrial fibrillation is worthy of clinical application in the treatment of severe valvular heart disease due to its good effect.