食道调搏术在阵发性室上性心动过速中的诊治效果  

Effects of Diagnosis and Cure of Transesophageal Atrial Pacing in Supraventricular Tachycardia

作　　者：田燕平[1] 

机构地区：[1]重庆市第九人民医院心内科,重庆400700

出　　处：《中国医药导刊》2012年第9期1499-1499,1501,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨和研究食道调搏术在治疗阵发性室上性心动过速中的最佳方式和治疗效果。方法:选取我院近年来收治的74例阵发性室上性心动过速患者,分为观察组和对照组各37例,两组患者均采用经食道心房调搏术进行治疗,其中观察组患者采用分级递增法;对照组患者则采用亚速刺激法,对两组患者的治疗效果、控制效果以及刺激时间等情况进行统计对比。结果:分析递增法相较亚速刺激法而言,具有不易再次诱发PSVT且刺激时间较短的优点,差异具有统计学意义(P<0.05)。而超速刺激法与猝发刺激法相较于前两种方法更容易诱发心绞痛,差异具有统计学意义(P<0.05)。结论:利用食道心房调搏术进行阵发性室上性心动过速的治疗时,选用分级递增法的效果更为显著,值得在临床上加以推广和应用。Objective：To explore and study the best way and treatment effects of transesophageal atrial pacing in the supraventricular tachycardia.Methods：74 cases of supraventricular tachycardia patients in our hospital in recent years were selected and divided into observation group and control group,each group contained 37 cases.All of the patients in these two groups were given transesophageal atrial pacing treatment,in which the observation group were given grade increment method,the control group were given speed simulation method.The treatment effects,control effects and stimulating time were statistically compared.Results：Compared with the speed method,the grade increment method had the advantages of not-easy induce PSVT and short simulating time,with statistically significant differences（P〈0.05）.Conclusion：When treat the supraventricular tachycardia with transesophageal atrial pacing,the grade increment method has more significant effects,which is worthy of clinical promotion and application.

关 键 词：分级递增法 亚速刺激法 食道调搏术 阵发性室上性心动过速 

分 类 号：R541.7[医药卫生—心血管疾病]