冷冻消融术对房室结折返性心动过速患者生活质量和心理状况的影响  

The effects of cryoablation of atrioventricular nodal reentrant tachycardia on quality of life and psychological status

作　　者：张庆刚[1] 屈百鸣[1] 车贤达[1] 丁亚辉[1] 钱琳艳[1] 王慧[1] 李忠杰[1] 俞坚武[1] 谭云飞[2] 

机构地区：[1]浙江省人民医院心内科,杭州市310014 [2]浙江省人民医院精神卫生科,杭州市310014

出　　处：《心电与循环》2015年第3期175-177,共3页Journal of Electrocardiology and Circulation

摘　　要：目的研究冷冻消融术治疗房室结折返性心动过速(AVNRT)对患者生活质量和心理健康状态的影响。方法 79例接受冷冻消融术的患者于术前、出院前和术后1个月行SF-36健康调查量表(SF-36)和90项症状自评量表(SCL-90)测定,评估生活质量和心理状况。结果 SF-36量表中生理功能、生理职能、总体健康、社会功能和精神健康评分术后显著高于术前(均P<0.05);其中生理职能、活力、社会功能、情感职能评分术后1个月高于出院前(均P<0.05)。SCL-90量表中焦虑和恐惧评分术后低于术前(P<0.05),焦虑SCL-90评分术后1个月低于出院前(P<0.05)。SF-36及SCL-90量表中性别主效应不显著。结论冷冻消融术治疗AVNRT可以明显改善患者生活质量和心理健康。Objective To investigate the effects of cryoablation of atrioventricular nodal reentrant tachycardia （AVNRT） on quality of life and psychological status. Methods 79 patients undergoing cryoablation of AVNRT were surveyed by Short Form 36 questionnaire （SF-36） and Symptom Check List-90 （SCL-90） before operation, before discharge and 1month after operation. Results SF-36 scores for physiological functioning, role-physical, general health, social functioning and mental health were significantly higher and SCL-90 scores for anxiety and fear were significantly lower after than before ablation （all P〈0.05）. The scores for role-physical, vitality, social functioning and role-emotion were significantly higher and SCL-90 score for anxiety was significantly lower 1 month after ablation than before discharge （all P〈0.05）. There was no significant difference of gender main effect in SF-36 and in SCL-90. Conclusion Cryoablation of AVNRT may significantly improve quality of life and psychological health.

关 键 词：冷冻消融术 房室结折返性心动过速 生活质量 心理健康 

分 类 号：R541.7[医药卫生—心血管疾病]