经股静脉植入主动固定电极与被动固定电极行临时心脏起搏的有效性和安全性比较  

Comparison of efficacy and safety of active fixed electrode and passive fixed electrode implanted through femoral vein for temporary cardiac pacing

作　　者：贺翔 蒋靖波 潘迪光 邓显宇 姚瑶 杨义羽 He Xiang;Jiang Jingbo;Pan Diguang;DengXianyu;Yao Yao;Yang Yiyu(Department of Cardiology,Guilin People’s Hospital,Guilin 541002,China)

机构地区：[1]桂林市人民医院心血管内科,广西桂林541002

出　　处：《临床内科杂志》2022年第10期667-670,共4页Journal of Clinical Internal Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费计划课题(Z20190405)

摘　　要：目的比较经股静脉植入主动固定电极与被动固定电极行临时心脏起搏的有效性和安全性。方法纳入2019年7月1日~2021年12月31日于我院经股静脉植入主动固定电极行临时心脏起搏的患者42例作为试验组,2012年9月1日~2019年6月30日于我院经股静脉植入被动固定电极行临时心脏起搏的患者49例作为对照组。比较两组患者的临床特征、术中观察指标(起搏参数、手术时间及X线曝光剂量等)、疗效和安全性指标(患者的转归、临时心脏起搏电极留置时间、临时心脏起搏相关费用、围手术期并发症等)。结果两组患者临床特征比较差异均无统计学意义(P>0.05)。试验组患者感知的R波振幅、电极阻抗均高于对照组(P<0.05),而两组患者起搏阈值、手术时间及X线曝光剂量比较差异均无统计学意义(P>0.05)。试验组术侧下肢制动时间、CCU留观时间、CCU留观费用及围手术期出现并发症、起搏电极脱位患者比例均低于对照组(P<0.001),而两组患者其余疗效和安全性指标比较差异均无统计学意义(P>0.05)。结论与传统经股静脉植入被动固定电极行临时心脏起搏相比,经股静脉植入主动固定电极行临时心脏起搏的疗效相当,电极脱位率更低,性价比更高。Objective To compare the efficacy and safety of active fixed electrode and traditional passive fixed electrode implanted through femoral vein for temporary cardiac pacing.Methods Forty-two patients who received active fixed electrode implanted through femoral vein for temporary cardiac pacing in our hospital from July 1,2019 to December 31,2021 were included as experimental group,and 49 patients who received passive fixed electrode implanted through femoral vein for temporary cardiac pacing in our hospital from September 1,2012 to June 30,2019 were included as control group.Clinical characteristics,intraoperative indexes including pacing parameters,procedure duration,X-ray exposure dose,efficacy and safety indexes including outcomes,retention time of temporary cardiac pacing electrode,costs related to temporary cardiac pacing and perioperative complications were compared between two groups.ResultsThere were no significant difference of clinical characteristics between two groups(P>0.05).Perceived R-wave amplitude and electrode impedance in experimental group were higher than those in control group(P<0.05),while there were no significant difference of pacing threshold,procedure time and X-ray exposure dose between two groups(P>0.05).Time of limb immobilization,time of CCU observation,costs related to CCU observation and proportion of patients with perioperative complications and pacing electrode dislocation in experimental group were lower than those in control group(P<0.001).There were no significant difference of other efficacy and safety indexes(P>0.05).Conclusion Compared with traditional active fixed electrode implanted through femoral vein for temporary cardiac pacing,the passive fixed electrode implanted through femoral vein for temporary cardiac pacing has a similar effect,lower electrode dislocation rate,and better cost performance.

关 键 词：临时心脏起搏 主动固定电极 被动固定电极 股静脉 有效性 安全性 

分 类 号：R541.7[医药卫生—心血管疾病]