高功率消融在阵发性心房颤动消融术中的应用  

Application of high power ablation in paroxysmal atrial fibrillation

作　　者：李雪博 陈丰毅 孙运[1] 范燕宾 Li Xue-bo;Chen Feng-yi;Shu Yun;Fan Yan-bin(Department of Cardiology,Zhengzhou Seventh People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院心内科,河南郑州450000

出　　处：《四川生理科学杂志》2023年第5期765-767,785,共4页Sichuan Journal of Physiological Sciences

基　　金：河南省医学科技攻关计划项目(LHGJ20200727)。

摘　　要：目的:分析高功率消融在阵发性心房颤动(Paroxysmal atrial fibrillation,PAF)消融术中的应用效果。方法:选取2020年1月至2022年1月期间我院收治的PAF患者80例为研究对象,随机分为对照组和观察组(n=40),对照组给予常规功率导管射频消融治疗,观察组给予高功率短时程射频消融治疗。比较两组消融效果、超声情况、PAF复发情况和次要终点事件情况。结果:观察组的消融时间、手术时间短于对照组(P<0.05),其他指标均无显著差异。结论:PAF患者使用高功率短时程射频消融治疗能够缩短消融时间和手术时间,不会影响术后心功能恢复、复发和预后。Objective:To analyze the effect of high power ablation in the ablation of paroxysmal atrial fibrillation(PAF).Methods:A total of 80 PAF patients admitted to our hospital from January 2020 to January 2022 were selected as research objects,and divided into control group(n=40)and observation group(n=40)randomly.The control group was received conventional power catheter radiofrequency ablation,and the observation group were received high-power short-course radiofrequency ablation.The results of ablation,ultrasound,PAF recurrence and secondary endpoint events were compared between the two groups.Results:The ablation time and operation time of the observation group were shorter than those of the control group(P<0.05).There were no significant differences in other indexes between the two groups.Conclusion:High-power short-course radiofrequency ablation can shorten the ablation time and operation time in patients with PAF,without affecting the postoperative recovery of cardiac function,recurrence and prognosis.

关 键 词：阵发性心房颤动 高功率短时程射频消融 复发 

分 类 号：R541.75[医药卫生—心血管疾病]