射频调控术治疗脊源性心脏病的临床疗效  

Effect of Radiofrequency Modulation in the Treatment of Spinal Heart Disease

作　　者：孔祥一 王莹[1] 余静 刘洪娟 王银鸽 王连松 赵艳红 罗民[1] Kong Xiangyi;Wang Ying;Yu Jing;Liu Hongjuan;Wang Yinge;Wang Liansong;Zhao Yanhong;Luo Min(China-Japan Union Hospital,Jjilin University,Changchun 130000)

机构地区：[1]吉林大学中日联谊医院,长春130000

出　　处：《国际老年医学杂志》2022年第2期199-201,共3页International Journal of Geriatrics

摘　　要：目的观察射频调控术治疗脊源性心脏病的临床疗效。方法选取2013年9月~2019年9月60例脊柱源性心脏病患者,随机分为对照组30例,试验组30例;对照组常规给予强心、利尿、扩血管等常规药物治疗,试验组采用射频调控术对责任病灶的胸交感神经进行治疗。结果试验组有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗后,两组左室射血分数(LVEF)均高于治疗前,血浆脑钠肽(BNP)均低于治疗前,差异均有统计学意义(P<0.05);治疗后,试验组LVEF高于对照组,BNP低于对照组,差异均有统计学意义(P<0.05)。结论射频调控术治疗脊源性心脏病已初见成效,射频调控术属于微创手术,创伤小,定位精确,安全性高,值得临床推广应用。Objective To observe the efficacy of radiofrequency modulation in the treatment of spinal heart disease.Methods From September 2013 to September 2019,60 patients with spinal-derived heart disease were randomly divided into the control group(30 cases) and the experimental group(30 cases).In the control group, the patients were treated with routine medication including cardiotonic, diuretic, vasodilator.In the experimental group, the thoracic sympathetic nerves of the responsible lesions were treated by radiofrequency modulation.Results The response rate in the experimental group was significantly higher than that in the control group(P<0.05).After treatment, left ventricular ejection fraction(LVEF) in the two groups were higher than those before treatment, while brain natriuretic peptide(BNP) levels were lower(P<0.05).After treatment, LVEF was higher in the experimental group than that in the control group, while BNP level was lower(P<0.05).Conclusion Radiofrequency modulation shows a good efficacy in the treatment of spinal heart disease.Radiofrequency modulation is a minimally invasive operation with small trauma, precise positioning and high safety.

关 键 词：脊源性心脏病 心力衰竭 射频调控术 胸交感神经 

分 类 号：R541.6[医药卫生—心血管疾病]