左束支起搏与右室心尖部起搏治疗病态窦房结综合征的临床效果比较  

Comparison the clinical effect of left bundle branch pacing and right ventricular apex pacing in the treatment of sick sinus syndrome

作　　者：张立立 曹媛媛 张建勋 ZHANG Lili;CAO Yuanyuan;ZHANG Jianxun(Cardiovascular Medicine Department,Shaanxi Province Mian County Hospital,Hanzhong 724200,China)

机构地区：[1]陕西省勉县医院心血管内科,陕西汉中724200

出　　处：《临床医学研究与实践》2021年第29期89-91,共3页Clinical Research and Practice

摘　　要：目的比较左束支起搏(LBBP)与右室心尖部起搏(RVAP)治疗病态窦房结综合征(SSS)的临床效果。方法回顾性分析我院收治的需安装起搏器的80例SSS患者的临床资料,根据起搏方式将患者分为R组(RVAP治疗,60例)与L组(LBBP治疗,20例)。比较两组的临床效果。结果术后6个月,R组的阈值低于术后即刻及L组,阻抗、感知高于术后即刻及L组(P<0.05)。术后,两组的LAVI、LAEF、Tmsv-16-SD%、SNRT、CSNRT、SACT、AHREs发作次数及持续时间、QLIPPv1.0评分均改善,且L组优于R组(P<0.05)。结论相较于RVAP,LBBP治疗SSS更有利于维持心脏机电同步性,可改善心功能和窦房结功能,减少心房颤动。Objective To compare the clinical effect of left bundle branch pacing(LBBP)and right ventricular apex pacing(RVAP)in the treatment of sick sinus syndrome(SSS).Methods The clinical data of 80 patients with SSS requiring pacemaker in our hospital were retrospectively analyzed.According to the pacing mode,the patients were divided into group R(RVAP treatment,60 cases)and group L(LBBP treatment,20 cases).The clinical effects of the two groups were compared.Results At 6 months after operation,the threshold of the group R was lower than that immediately after operation and in the group L,and the impedance and perception were higher than those immediately after operation and in the group L(P<0.05).After operation,the LAVI,LAEF,Tmsv-16-SD%,SNRT,CSNRT,SACT,the number and duration of AHREs and QLIPPv1.0 score in the two groups improved,and those in the group L were better than the group R(P<0.05).Conclusion Compared with RVAP,LBBP in the treatment of SSS is more conducive to maintain cardiac electromechanical synchronization,improve cardiac function and sinoatrial node function,and reduce atrial fibrillation.

关 键 词：左束支起搏 右室心尖部起搏 病态窦房结综合征 

分 类 号：R541.74[医药卫生—心血管疾病]