股静脉漂浮电极导管临时心脏起搏器植入在缓慢型心律失常合并高度房室传导阻滞患者中的应用效果  

Application effect of temporary cardiac pacemaker implantation with float-ing electrode catheter in femoral vein in slow arrhythmia with high de-gree atrioventricular block patient

作　　者：叶志高 邹蓉[2] 潘慧娟 刘锦嫦 赵演池 

机构地区：[1]广州市增城区石滩镇中心卫生院,广州511330 [2]中山大学附属博济医院,广州511300

出　　处：《中国当代医药》2016年第22期18-20,24,共4页China Modern Medicine

基　　金：广东省广州市医药卫生科技项目(20151A011116)

摘　　要：目的探讨股静脉漂浮电极导管临时心脏起搏器植入的临床应用价值。方法选取2013年1月～2016年1月本院收治的68例缓慢型心律失常合并高度房室传导阻滞患者作为研究对象，根据不同手术方式将其分为试验组与对照组．各34例。试验组采用股静脉漂浮电极导管临时心脏起搏器植入术，对照组采用x线透视下普通电极导管临时心脏起搏器植入术，比较两组的手术一次性成功率、起搏器安装时间。起搏时间、起搏阈值、术后感知不良发生率、并发症发生率、心脏指数（CI）、射血分数（EF）等指标。结果对照组有1例由于血管迂曲在x线引导下再次手术后成功起搏。两组的手术一次性成功率、起搏器安装时间比较，差异无统计学意义（P〉0．05）。试验组的术后感知不良发生率显著低于对照组，差异有统计学意义（P〈0．05）。试验组的起搏时间与起搏阈值显著低于对照组，差异有统计学意义（P〈0．05）。两组治疗后的CI、EF值显著高于治疗前，差异有统计学意义（P〈0．05）。试验组治疗后的CI、EF值显著高于对照组治疗后，差异有统计学意义（P〈0．05）。两组均无血栓形成、心脏穿孔、静脉炎、气胸、感染等并发症发生。结论股静脉漂浮电极导管临时心脏起搏器植入在缓慢型心律失常合并高度房室传导阻滞患者中的应用效果显著，值得临床推广应用。Objective To explore the clinical application value of temporary cardiac pacemaker implantation with float- ing electrode catheter in femoral vein.Methods 68 cases of slow arrhythmia with high degree atrioventricular block from January 2013 to January 2016 in our hospital were selected and divided into the experimental group and the con- trol group according to different surgery,34 cases in each group.The experimental group was given temporary cardiac pacemaker implantation with floating electrode catheter, and the control group was used temporary cardiac pacemaker implantation with normal electrode catheter under X-ray.The index of one-time success rate,pacemaker installation time,pacemaking time,pacemaking threshold,incidence rate of postoperative poor perception,incidence rate of complica- tion,cardiac index （CI） and ejection fraction （EF） in the two groups was compared.Results There was 1 case with suc- cess pacing under the guidance of X-ray once again after the operation due to vessel tortuosjty.There was no significant difference in the one-time success rate and pacemaker installation time between the two groups （P〉0.OS）.The incidence rate of postoperative poor perception in the experimental group was lower than that in the control group,with significant difference （P〈0.05）.The pacemaking time and pacemaking threshold in the experimental group Was：lower： than that in the control group,with significant difference （P〈0.05）.The value of CI and EF after treatment in the two groups was higher than that before treatment （P〈0.05）,the value of CI and EF after treatment in the experimental group was higher than that in the control group,with significant difference （P 〈0.05）.There were no thrombosis,cardiac perforation, and other complications in the two groups.Conclusion The application effect of tempo- tory cardiac pacemaker implantation with floating electrode catheter in femoral veinn femoral vein in slow arrhythmia with high degree atrioventricular block patient is obvi

关 键 词：股静脉 漂浮电极导管 临时心脏起搏器植入术 

分 类 号：R541.7[医药卫生—心血管疾病]