体位改良Valsalva动作与标准Valsalva动作对老年患者阵发性室上性心动过速转复研究  

Posture-modified Valsalva manoeuvre and standard Valsalva manoeuvre in elderly patients with PSVT conversion

作　　者：吴蕊[1] 闫菲[1] 韩雅琪 王珏 吴金涛[1] Wu Rui;Yan Fei;Han Yaqi;Wang Jue;Wu Jintao(Center of Cardiology,Henan Provincial People's Hospital,Zhengzhou 450008,Henan Province,China)

机构地区：[1]河南省人民医院心脏中心,华中阜外医院,郑州大学华中阜外医院,450008

出　　处：《中华老年心脑血管病杂志》2020年第3期253-256,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：河南省科技攻关计划(112102310665)。

摘　　要：目的观察体位改良Valsalva动作(PMVM)与标准Valsalva动作(SVM)对老年患者阵发性室上性心动过速(PSVT)转复的应用效果。方法选取2018年1月1日~2019年6月1日于我院就诊实施食管心脏电生理检查诱发PSVT的老年患者88例,采用密封信封抽签法随机分为SVM组43例和PMVM组45例。比较2组患者PSVT的一般特征、成功转复窦性心律以及转复后不良反应。结果2组患者PSVT发作频率、发作方式及类别比较,无统计学差异(P>0.05)。SVM组与PMVM组第1次和第2次成功转复窦性心律比例比较,无统计学差异(23.3%vs 37.8%,4.7%vs 11.1%,P>0.05);SVM组与PMVM组总成功转复率比较,有显著差异(27.9%vs48.9%,P<0.05)。在转复过程中,SVM组与PMVM组不良反应发生率比较,差异无统计学意义(33.3%vs27.3%,P>0.05)。结论PMVM能有效提高老年PSVT患者成功转复率,且有效性和安全性均较高。Objective To study the effect of posture-modified Valsalva manoeuvre(PMVM)and standard Valsalva manoeuvre(SVM)in elderly patients with paroxysmal supraventricular tachycardia(PSVT)conversion.Methods Eighty-eight patients with PSVT induced by transesophageal cardiac electrophysiological examination in our hospital were divided into SVM group(n=43)and PMVM group(n=45).Their general data,sinus rhythm and adverse reactions after PSVT conversion were compared.Results No significant difference was detected in frequency,mode and typ of PSVT(P>0.05)and in ratio of sinus rhythm between the two groups after the first and second successful PSVT conversion(23.3%vs 37.8%,4.7%vs 11.1%,P>0.05).The successful PSVT conversion rate was lower in SVM group than in PMVM group(27.9%vs 48.9%,P<0.05).No significant difference was detected in the incidence of adverse reaction between the two groups during the PSVT conversion(33.3%vs 27.3%,P>0.05).Conclusion PMVM can improve PSVT conversion with a high effectiveness and safety.

关 键 词：心动过速 阵发性 体位 VALSALVA动作 随机对照试验 

分 类 号：R541.7[医药卫生—心血管疾病]