心房颤动患者环肺静脉左房线性消融术后的护理  

Nursing for patients with atrial fibrillation after left atrial linear ablation surrounding ipsilateral pulmonary veins

作　　者：古良[1] 蔡清媚[1] 

机构地区：[1]广东省人民医院心内科,广州510080

出　　处：《中国实用护理杂志（中旬版）》2008年第7期19-20,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨心房颤动（房颤）患者环肺静脉左房线性消融术后的观察和护理要点。方法对31例房颤患者采用CARTO电解剖标测系统及双Lasso表测电极技术，分别进行环左、右侧肺静脉线性消融；消融终点为肺静脉电位消失，左房-肺静脉双向传导阻滞，并对观察护理要点进行总结。结果患者初次消融术后平均随访（245±65）d，21例无复发，8例复发房性心律失常包括5例典型房扑、2例其他房性心动过速、1例阵发性房颤、2例左上肺静脉电位未完全隔离者仍持续房颤。除1例持续性房颤外，9例接受了再次消融术，8例射频消融成功并随访（192±92）d无复发。2次射频消融术后总成功率为92．8％。结论护理人员应根据患者在行环肺静脉左房线性消融术术前、术中、术后，对出现的症状进行有效的护理措施，以解除患者的痛苦。Objective To investigate the observation and nursing for patients with atrial fibrillation （AF）after left atrial linear ablation surrounding ipsilateral pulmonary veins （PVs）. Methods Thirty patients with persistent AF underwent left atrial linear ablation surrounding ipsilateral PVs guided by CARTO electroanatomic mapping system and double Lasso catheters technique. The end point of ablation was defined as absence of all PV spikes after isolation and bidirectional conduction block between left atrial and PVs. Results After a median of （245±65）days of follow-up, twenty-one patients were free of AF. Eight patients subjected recurrent atrial tachyarrhymias, including 5 typical AFL, 2 atrial tachycardia and 1 paroxysmal AF. Two patients with persistent AF remaining PV spikes in left superior PV failed to be translated to sinus rhythm. Nine patients underwent repeated ablation and 8 of them were free of atrial tachyarrhythmia after （192±92） days follow-up. Total success rate after two procedures was 92.8%. Conclusions Nurses should perform effective care according to the symptom of patients before, during and after ablation procedure and relieve the patients from pain.

关 键 词：心房颤动 导管射频消融 肺静脉 护理 

分 类 号：R541.75[医药卫生—心血管疾病] R473.5[医药卫生—内科学]