环肺静脉消融术对心房颤动患者生活质量的影响  

Effects of circumferential pulmonary vein ablation on life quality of patients with atrial fibrillation

作　　者：刘玉芝[1] 王会永[1] 韦美玉[1] 徐延敏[1] 

机构地区：[1]天津医科大学第二医院心脏科,300211

出　　处：《新医学》2012年第1期7-9,共3页Journal of New Medicine

摘　　要：目的:评价环肺静脉消融术(CPVA)对心房颤动患者生活质量的影响。方法:应用SF-36量表对56例接受CPVA的心房颤动患者,分别于入院时和消融后6个月进行生活质量评价。结果:随访(13±4)个月,43例(77%)患者维持窦性心律。6个月后SF-36量表中除肌体疼痛差异无统计学意义外,躯体功能、躯体角色、总体健康状况、活力、社会功能、精神角色和精神健康均较消融前有明显改善(P<0.05)。总躯体健康评分从(68±15)分提高至(76±15)分(P<0.01),总精神健康评分从(63±16)分提高至(73±17)分(P<0.01)。结论:CPVA能明显改善心房颤动患者的生活质量,尤其在消融成功者中,CPVA可使患者生活质量明显改善。Objective： To evaluate the effects of circumferential pulmonary vein ablation（CPVA） on quality of life（QOL） of patients with atrial fibrillation（AF）.Methods： QOL of 56 patients with AF received CPVI and evaluated by Short Form-36（SF-36）at baseline and 6-month after CPVI.Results： After a mean follow-up of 13±4 months,43 patients were free from AF without anti-arrhythmic drugs.There were significant improvements in QOL（except for body pain） after CPVA.The physical component summary scores（PCS） of SF-36 were 68±15 and 76±15 before and after treatment,respectively,with significant improvement（P〈0.01）,while the mental component summary scores（MCS） were 63±16 and 73±17,respectively,with significant improvement（P〈0.01）.Conclusion：QOL of patients with AF can be improved after CPVA in particular in patients free from AF after treatment.

关 键 词：心房颤动 环肺静脉消融术 生活质量 躯体健康 精神健康 

分 类 号：R541.7[医药卫生—心血管疾病]