对比球囊漂浮电极和普通电极导管起搏器治疗急性下壁心肌梗死伴AVB的疗效和安全性  

Compared Balloon Floating Electrode and Ordinary Electrode Catheter Pacemaker Treatment of Acute Inferior Wall Myocardial Infarction Associated with Efficacy and Safety of AVB

作　　者：代振涛 王培濯 潘淑红 尹航 

机构地区：[1]河北省沧州市人民医院心内科,沧州061000

出　　处：《中国医药导刊》2017年第2期148-149,152,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探究并对比球囊漂浮电极和普通电极导管起搏器治疗急性下壁心肌梗死伴高度房室传导阻滞(AVB)的治疗效果和安全性。方法:选取本院收治的急性下壁心肌梗死伴AVB的患者67例。按照诊起搏器治疗方式分为观察组与对照组:观察组接受球囊漂浮电极起搏器治疗,对照组给予普通电极导管起搏器治疗,对比两组的治疗效果和安全性。结果:观察组的电极置人时间明显低于对照组,结果(P<0.05)为差异有统计学意义。观察组的成功率有91.89%,对照组的成功率为86.67%。观察组的成功率明显高于对照组,结果(P<0.05)为差异有统计学意义。观察组电极脱位患者明显低于对照组,结果(P<0.05)为差异有统计学意义。观察组与对照组的起搏阈值和感知阈值无明显差异,结果(P>0.05)为差异无统计学意义。观察组并发症的发生率为2.7%,对照组并发症的发生率为10%,对比结果(P<0.05)为差异有统计学意义。结论:球囊漂浮电极起搏器能有效提升急性下壁心肌梗死伴AVB的成功率,降低并发症的发生率,操作时间短且具备良好的安全性。Objective：To investigate and compare the balloon floating electrode and ordinary electrode catheter pacemaker treatment of acute inferior wall myocardial infarction with AVB atrioventricular block（height） of the therapeutic effect and safety.Methods：To choose our college of acute inferior wall myocardial infarction treated with AVB 67 cases of patients.According to the diagnosis of pacemaker treatment is divided into observation group and control group：observation group treated with balloon floating pacemaker electrode,the control group given ordinary electrode catheter pacemaker therapy,compared two groups of therapeutic effect and safety.Results：The electrode placement time of observation group was obviously lower than the control group,the results（P〈0.05） as the difference was statistically significant.Observation group the success rate of 91.89%,the success rate of 86.67%in the control group.The success rate of observation group was obviously higher than that of control group,and the results（P〈0.05） as the difference was statistically significant.Electrode dislocation patients significantly lower than the control group,the observation group（P〈0.05） as the difference was statistically significant Observation group and control group in the pacemaker of no difference between the threshold and perception threshold,the results as there was no statistically significant difference（P〉0.05）.Observation group the incidence of complications was 2.7%,the control group in the incidence of complications was 10%,compared to the results（P〈0.05） as the difference was statistically significant.Conclusion：Balloon floating pacemaker electrode can effectively improve the success rate of acute inferior wall myocardial infarction with AVB and reduce the incidence of complications,shorter operation time and good security.

关 键 词：球囊漂浮电极 普通电极导管 起搏器治疗 急性下壁心肌梗死伴AVB 安全性 

分 类 号：R542.22[医药卫生—心血管疾病]