不同性别房颤患者临床特点分析及导管射频消融安全性评估  

Analysis of clinical characteristics and safety assessment of catheter radiofrequency ablation in patients with atrial fibrillation of different genders

作　　者：袁伟[1] 张林忠[2] 董艳 阮中宝[1] 陈铭[1] 张玮[4] 杨兵 李小荣 曹克将[3] Yuan Wei;Zhang Lin-zhong;Dong Yan;Ruan Zhong-bao;Chen Ming;Zhang Wei;Yang Bing;Li Xiao-rong;Cao Ke-jiang(Department of Cardiology,Taizhou People's Hospital,Taizhou Jiangsu 225300;Department of Cardiology,Jinan Central Hospital,Jinan Shandong 250013;Department of Cardiology,The First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210029;Department of Oncology,Taizhou People's Hospital,Taizhou Jiangsu 225300;Department of Cardiology,Shanghai East Hospital Tongji University,Shanghai 200120,China)

机构地区：[1]泰州市人民医院心血管内科,江苏泰州225300 [2]济南市中心医院心血管内科,山东济南250013 [3]南京医科大学第一附属医院心脏科,江苏南京210029 [4]泰州市人民医院肿瘤科,江苏泰州225300 [5]同济大学附属东方医院心脏科,上海200120

出　　处：《实用心电学杂志》2020年第2期98-100,112,共4页Journal of Practical Electrocardiology

基　　金：国家自然科学基金资助项目(81400253);浦东新区卫生和健康委员会项目(PW2019D-1)。

摘　　要：目的探讨不同性别房颤患者的临床特点,比较不同性别行房颤导管射频消融的安全性。方法将行导管射频消融的房颤患者451例,分为男性组和女性组,比较分析不同性别组的房颤类型、心脏超声指标、生化指标以及手术并发症等指标。结果女性患者吸烟、饮酒比例更低,左房内径更小,阵发性房颤比例更高,而男性患者尿酸、肌酐高于女性。不同性别组并发症发生率差异没有统计学意义(P>0.05)。结论女性房颤患者有独特的临床特点,但行房颤导管消融术同样安全。Objective To investigate the clinical characteristics and the safety of catheter radiofrequency ablation in patients with atrial fibrillation of different genders.Methods Four hundred and fifty-one patients with atrial fibrillation undergoing catheter radiofrequency ablation were divided into male group and female group.The atrial fibrillation types,cardiac ultrasound indicators,biochemical parameters and surgical complications of different gender groups were compared and analyzed.Results Female patients had lower rates of smoking and drinking,smaller left atrial diameter,and higher proportion of paroxysmal atrial fibrillation,while male patients had higher uric acid and creatinine than women.There was no significant difference in the incidence of complications between different gender groups(P>0.05).Conclusion Female patients with atrial fibrillation have unique clinical characteristics,while catheter ablation for women is still as safe as for men.

关 键 词：心房颤动 导管射频消融 性别 

分 类 号：R541.7[医药卫生—心血管疾病]