STSF消融导管在射频消融手术中的应用及护理  

Application and nursing of STSF ablation catheter in radiofrequency ablation

作　　者：周群 卫青 ZHOU Qun;WEI Qing(Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)

机构地区：[1]上海市胸科医院,上海交通大学附属胸科医院,上海200030

出　　处：《武警后勤学院学报（医学版）》2021年第10期64-66,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】总结CARTO系统经皮导管射频消融术的术中护理经验。【方法】回顾性分析2019年2月至2019年4月于我院心内科初次行CARTO系统经皮导管射频消融术的患者共240例的术中护理情况,包括CARTO系统及基本原理、房颤消融术中配合和STSF导管的优势及其对护理工作的影响。总结经皮导管射频消融术的手术配合经验。【结果】在手术时间和患者治疗效果方面,两组不同的射频消融导管具有统计学差异(P<0.05)。STSF组的手术时间明显缩短,射频能量输出时间明显缩短(P<0.05)。STSF组患者的心律失常发生率显著低于ST组,汉密顿焦虑量表(HAM-A)评分高于ST组(P<0.05)。【结论】在经皮导管射频消融术使用STSF消融导管,可以缩短手术时间,治疗效果优于ST消融导管,同时良好的护理能够降低手术并发症发生风险,为降低术后并发症和提高手术成功率提供了有力保障。【Objective】To summarize the intraoperative nursing experience of percutaneous catheter radiofrequency ablation with CARTO system.【Methods】A total of 240 patients who underwent CARTO system percutaneous radiofrequency ablation for the first time in our hospital from February 2019 to April 2019 were retrospectively analyzed,including:the basic principle of CARTO system,brief introduction of STSF catheter and cooperation during atrial fibrillation ablation.To summarize the perioperative nursing experience of percutaneous radiofrequency ablation.【Results】Two groups of different radiofrequency ablation catheters were statistically significant in terms of operation time and patient treatment effects(P<0.05).The operation time and radiofrequency energy output time in STSF group were significantly shortened(P<0.05).The incidence of arrhythmia in STSF group was significantly lower than that in ST group,and the Hamilton Anxiety Scale(HAM-A)score was higher than that in ST group(P<0.05).【Conclusion】The use of STSF ablation catheters in percutaneous radiofrequency catheter ablation can shorten the operation time,and the treatment effect is higher than ST ablation catheters.At the same time,good care can reduce the risk of surgical complications,which provides a way to reduce postoperative complications and increase the success rate of surgery.Strong guarantee.

关 键 词：心房颤动 STSF消融导管 术中护理 

分 类 号：R473.5[医药卫生—护理学]