VVI和AAI起搏治疗病窦综合征的远期随访  

Long-term follow-up of VVI pacing and AAI pacing in sick sinus syndrome

作　　者：杨栓锁 张全发[2] 崔长琮[2] 

机构地区：[1]湖北十堰东风汽车公司中心医院心内科,研究生442008 [2]西安医科大学第一附属医院心内科,710061

出　　处：《中华心血管病杂志》2000年第1期45-47,共3页Chinese Journal of Cardiology

摘　　要：目的　了解并比较VVI、AAI起搏治疗病窦综合征 (病窦 )的远期效果。方法　分别对87例、62例病窦患者的VVI、AAI起搏治疗进行临床、心电图、2 4小时动态心电图的定期随访 ,随访时间分别为 (60± 3 8)个月和 (3 6± 1 4 )个月。结果　心房颤动的发生率VVI组 (3 4 5 % )明显较AAI组(3 0 % )高 (P <0 0 1) ;血栓栓塞发生率 :VVI组为 10 4 % ,AAI组为 0 ,两组比较差异有显著性 (P <0 0 1) ;心胸比值 :VVI组从术前 0 5 2± 0 0 9增大到术后 0 62± 0 13 (P <0 0 5 ) ,而AAI组无变化 ;VVI组 8例 (9 2 % )发生了心源性死亡 ,而AAI组无 1例发生 ,差异有显著性 (P <0 0 1)。结论　AAI起搏远期随访心房颤动、血栓栓塞、心原性死亡等的发生率明显较VVI起搏低。对病窦患者的预后 ,AAI起搏明显优于VVI起搏。Objective To study and compare the long term results of VVI and AAI pacing in sick sinus syndrome. Methods A long term follow up survey was carried out in 87 cases of VVI pacing and 62 cases of AAI pacing by clinical examination ,electrocardiography and dynamic electrocardiography. The mean follow up time was 60±3 8 and 36±1 4 months, respectively. Results The prevalence of atrial fibrillation in the VVI group (34 5%) was significantly higher than that in the AAI group (3 0%) ( P< 0 01); thromboembolism occurred more frequently in the VVI group than in the AAI group (10 4% vs 0%, P< 0 01); the cardiothoracic ratio of the VVI group increased from 0 52±0 09 to 0 62±0 13 after operation ( P< 0 05), while that of the AAI group showed no change; there were 8 cases (9 2%) cardiogenic death in the VVI group, but none in the AAI group ( P <0 01). Conclusion During the long term follow up period, the prevalences of atrial fibrillation, thromboembolism and cardiogenic death in the AAI group are significantly lower compared with those in the VVI group. The prognosis of sick sinus syndrome in the AAI group is apparently superior to that in the VVI group.

关 键 词：病窦综合征 起搏器 VVI起搏 AAI起搏 

分 类 号：R541.7[医药卫生—心血管疾病]