心房颤动复律效果影响因素分析  

Analysis on influencing factors of effect of atrial fibrillation cardioversion

作　　者：陈各才[1,2] 朱莉[2] 李勋[1] 蒋文平[1] 

机构地区：[1]苏州大学附属第一医院心内科,江苏苏州215006 [2]泰州市人民医院心内科,江苏泰州225300

出　　处：《江苏大学学报（医学版）》2010年第5期418-421,共4页Journal of Jiangsu University：Medicine Edition

摘　　要：目的:观察心房颤动复律效果,并分析各种影响因素与房颤复律效果之间的关系。方法:选择在2003年8月至2008年7月间来我科复律的116例房颤患者,入院后首先应用Ⅲ类抗心律失常药物(胺碘酮)进行复律,口服胺碘酮3周左右仍未转复者,行直流电复律。分析舒张末期左房内径大小(LAD)、病程长短、病因、性别、年龄5个因素与患者复律所用时间及复律后维持窦律时间的关系。结果:左房大小、病程长短、病因及患者年龄均与房颤复律所需时间及复律后维持窦律的时间有关,其中以左房内径的影响最大,病程、并发病及年龄的影响次之,男女性别间无明显差别。结论:左房越大、病程越长、年龄越大及合并其他疾病者,房颤复律越难,且复律后维持窦性心律时间越短,性别对此无明显影响。Objective： To investigate the effect of atrial fibrillation cardioversion,and analyze the relationship between influencing factors and effect of atrial fibrillation cardioversion.Methods： One hundred and sixteen fibrillation patients who were cured between August,2003 and July,2008 in our hospital were enrolled.Use Ⅲ antiarrhythic drugs to recover sinus rhythm after patients entered hospital,and use lightning stroke when patients have had Amiodarone for three weeks without effects.Then to analyze the relationship between factors（such as LAD,disease process,cause of a disease,gender and age） and effect of atrial fibrillation cardioversion.Results： LAD,disease process,cause of a disease,age had something to do with the time for atrial fibrillation cardioversion and the time keeped after patients be cured.The influence of LAD was most significant among them,and the influence of disease process,cause of a disease and age was less than it.There was no evident difference between male and female patients.Conclusion： Atrial fibrillation cardioversion was more difficult and time was keeped shorter after patients be cured when LAD was bigger,course of disease was longer and age was older.But gender had no significant influence.

关 键 词：心房颤动 复律效果 影响因素 

分 类 号：R541.7[医药卫生—心血管疾病]