食管调搏治疗阵发性室上性心动过速患儿的临床疗效  

Clinical efficacy of esophageal pacing in the treatment of children with paroxysmal supraventricular tachycardia

作　　者：覃杰华 葛晓宁 陈燕琴 陈明[1] 郑玉粉 QIN Jiehua;GE Xiaoning;CHEN Yanqin;CHEN Ming;ZHENG Yufen(Department of Electrophysiology,Bo'ai Hospital of Zhongshan,Zhongshan,Guangdong,528400,China)

机构地区：[1]中山市博爱医院电生理科,广东中山528400

出　　处：《当代医学》2022年第26期143-145,共3页Contemporary Medicine

摘　　要：目的探究食管调搏治疗阵发性室上性心动过速(PSVT)患儿的临床疗效。方法选取2015年1月至2021年4月本院收治的65例PSVT患儿作为研究对象,采用随机数字表法分为参照组(n=30)和研究组(n=35)。参照组给予常规药物治疗,研究组给予食管调搏治疗,比较两组复律时间、临床有效率、不良反应发生率及患儿家属满意度。结果研究组复律时间为(3.65±0.28)min,短于参照组的(4.36±0.38)min,差异有统计学意义(P<0.05)。研究组治疗有效率为97.14%,高于参照组的73.33%,差异有统计学意义(P<0.05)。研究组不良反应发生率为5.71%,低于参照组的26.67%,差异有统计学意义(P<0.05)。研究组患儿家属满意度为97.14%,高于参照组的80.00%,差异有统计学意义(P<0.05)。结论食管调搏治疗PSVT患儿效果显著,能提升患儿家属满意度,降低不良反应发生率,缩短患儿复律时间,值得临床推广应用。Objective To explore the clinical efficacy of esophageal pacing in the treatment of children with paroxysmal supraventricular tachycardia(PSVT).Methods A total of 65 children with PSVT admitted to our hospital from January 2015 to April 2021 were selected as the research subjects,and they were divided into the reference group(n=30)and the study group(n=35)according to random number table method.The reference group was given conventional drug treatment,while the study group was given esophageal pacing therapy,the cardioversion time,clinical effective rate,incidence of adverse reactions,family satisfaction of children were compared between the two groups.Results The cardioversion time of the study group was(3.65±0.28)min,which was shorter than(4.36±0.38)min of the reference group,and the difference was statistically significant(P<0.05).The clinical effective rate of the study group was 97.14%,which was higher than 73.33%of the reference group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 5.71%,which was lower than 26.67%in the reference group,and the difference was statistically significant(P<0.05).The family satisfaction of children in the study group was 97.14%,which was higher than 80.00%in the reference group,and the difference was statistically significant(P<0.05).Conclusion Esophageal pacing in the treatment of children with PSVT has significant effect,which can improve the satisfaction of family members,reduce the incidence of reactions,and shorten the average cardioversion time of children,which is worthy of clinical application.

关 键 词：食管调搏 阵发性室上性心动过速患儿 不良反应 满意度 复律 

分 类 号：R541.71[医药卫生—心血管疾病]