心脏起搏器安置术治疗缓慢性心律失常的疗效观察  

Observation on the efficacy of pacemaker placement in the treatment of bradyarrhythmia

作　　者：范茸 FAN Rong(Heart Center,Huludao Second People’s Hospital,Huludao 125000,China)

机构地区：[1]辽宁省葫芦岛市第二人民医院心脏中心,125000

出　　处：《中国实用医药》2022年第8期48-50,共3页China Practical Medicine

摘　　要：目的探究心脏起搏器安置术治疗缓慢性心律失常患者的临床疗效。方法50例缓慢性心律失常患者,随机分为观察组与对照组,各25例。对照组采用药物治疗,观察组采用心脏起搏器安置术治疗。比较两组治疗效果、治疗后心功能指标及血压水平。结果观察组治疗总有效率为92.00%高于对照组的68.00%,差异有统计学意义(χ^(2)=4.500,P<0.05)。治疗后,观察组左心室舒张末期内径(LVEDD)、左心房内径(LAD)、左心室收缩末期内径(LVESD)、左心室射血分数(LVEF)分别为(46.28±5.28)mm、(36.14±2.30)mm、(39.25±4.28)mm、(56.28±4.38)%,均优于对照组的(50.36±5.56)mm、(41.16±2.38)mm、(44.38±4.43)mm、(48.36±4.52)%,差异有统计学意义(P<0.05)。治疗1、6、12个月,观察组舒张压及收缩压均低于对照组,差异均有统计学意义(P<0.05)。结论缓慢性心律失常患者采用心脏起搏器安置术治疗效果更好,能够有效控制血压,并改善心功能指标,临床可用价值高。Objective To investigate the clinical efficacy of pacemaker placement in the treatment of patients with bradyarrhythmia.Methods A total of 50 patients with bradyarrhythmias were randomly divided into observer and control group,with 25 cases in each group.The control group was treated with drugs,and the observation group was treated with pacemaker placement.The therapeutic effect,cardiac function index and blood pressure level after treatment were compared between the two groups.Results The total effective rate of treatment92.00%in the observer group was higher than 68.00%in the control group,and the difference was statistically significant(χ^(2)=4.500,P<0.05).After treatment,the left ventricular end-diastolic diameter(LVEDD),left atrial diameter(LAD),left ventricular end-systolic diameter(LVESD),and left ventricular ejection fraction(LVEF)in the observation group were(46.28±5.28)mm,(36.14±2.30)mm,(39.25±4.28)mm,and(56.28±4.38)%,which were better than(50.36±5.56)mm,(41.16±2.38)mm,(44.38±4.43)mm,and(48.36±4.52)%in the control group,and the difference was statistically significant(P<0.05).After 1,6 and 12 months of treatment,the diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Pacemaker placement is more effective in the treatment of patients with bradyarrhythmia.It can control blood pressure effectively and improve the cardiac function index in patients and has high clinical value.

关 键 词：缓慢性心律失常 心脏起搏器安置术 血压值 心功能 

分 类 号：R541.7[医药卫生—心血管疾病]