医药前沿
醫藥前沿
의약전연
Yiayao Qianyan
2015年
25期
70-71
,共2页
射频消融术%保守治疗%小儿心律失常
射頻消融術%保守治療%小兒心律失常
사빈소융술%보수치료%소인심률실상
Radiofrequency ablation%Conservative treatment%Pediatric arrhythmia
目的：研究射频消融术与保守治疗小儿心律失常的远期疗效。方法：选取我院79例小儿心律失常者为研究对象，均采取射频消融术及保守药物治疗，比较患儿3月后临床疗效及随访4月-3年后各类型心律失常复发情况。结果：AVRT、AVNRT、AT、VT、AF治疗有效率均较高，IVF有效率偏低，但各组比较无统计学意义（P＞0.05）；术后随访4月-3年，AVRT、AVNRT、AT、VT、AF复发率分别为5.71%、9.52%、37.50%、30.00%、20.00%，AT与IVF型复发率最高，与AVRT、AVNRT比较显著较高（P＜0.05）。结论：射频消融术与保守治疗小儿心律失常近期疗效显著，可预防远期复发，具有较高的临床应用价值。
目的：研究射頻消融術與保守治療小兒心律失常的遠期療效。方法：選取我院79例小兒心律失常者為研究對象，均採取射頻消融術及保守藥物治療，比較患兒3月後臨床療效及隨訪4月-3年後各類型心律失常複髮情況。結果：AVRT、AVNRT、AT、VT、AF治療有效率均較高，IVF有效率偏低，但各組比較無統計學意義（P＞0.05）；術後隨訪4月-3年，AVRT、AVNRT、AT、VT、AF複髮率分彆為5.71%、9.52%、37.50%、30.00%、20.00%，AT與IVF型複髮率最高，與AVRT、AVNRT比較顯著較高（P＜0.05）。結論：射頻消融術與保守治療小兒心律失常近期療效顯著，可預防遠期複髮，具有較高的臨床應用價值。
목적：연구사빈소융술여보수치료소인심률실상적원기료효。방법：선취아원79례소인심률실상자위연구대상，균채취사빈소융술급보수약물치료，비교환인3월후림상료효급수방4월-3년후각류형심률실상복발정황。결과：AVRT、AVNRT、AT、VT、AF치료유효솔균교고，IVF유효솔편저，단각조비교무통계학의의（P＞0.05）；술후수방4월-3년，AVRT、AVNRT、AT、VT、AF복발솔분별위5.71%、9.52%、37.50%、30.00%、20.00%，AT여IVF형복발솔최고，여AVRT、AVNRT비교현저교고（P＜0.05）。결론：사빈소융술여보수치료소인심률실상근기료효현저，가예방원기복발，구유교고적림상응용개치。
ObjectiveTo study the long-term effects of radiofrequency ablation and conservative treatment for pediatric arrhythmia.Methods79 cases of children with arrhythmia in the hospital were selected as the research object and all of them were treated with radiofrequency ablation and conservative drug. The clinical curative effect after 3 months and recurrence status of various types of arrhythmia after 4 months to 3 years of follow-up were compared.Results The effective rate of treating AVRT, AVNRT, AT, VT and AF were relatively higher while of treating IVF was relatively lower but the difference was not statistically significant (P > 0.05). The patients were followed up for 4 months to 3 years after operation and the recurrence rate of AVRT, AVNRT, AT, VT and AF were 5.71%, 9.52%, 37.50%, 30.00% and 20.00% respectively. The recurrence rates of AT and IVF type were the highest which wass significantly higher than those of AVRT and AVNRT (P < 0.05).ConclusionThe recent curative effect of radiofrequency ablation and conservative treatment for pediatric arrhythmia is significant which can prevent long-term recurrence and is of high clinical application value.
