永久性人工心脏起搏器植入后动态心电图动态血压与生活质量相关性分析  

Correlation analysis of ambulatory electrocardiogram,ambulatory blood pressure and quality of life after permanent artificial cardiac pacemaker implantation

作　　者：白红艳 李刘文 Bai Hongyan;Li Liuwen(ECG Room of Yulin First Hospital,Shaanxi 719000,China;不详)

机构地区：[1]陕西省榆林市第一医院心电图室,719000 [2]陕西省榆林市第二医院急救中心

出　　处：《山西医药杂志》2023年第17期1288-1293,共6页Shanxi Medical Journal

摘　　要：目的探究永久性人工心脏起搏器植入后患者动态心电图、动态血压与生活质量的相关性。方法选取我院2019年10月至2020年8月收诊永久性人工心脏起搏器植入术后3个月以上起搏器功能基本正常的患者80例为研究对象,其中使用单腔起搏器VVI模式(单腔组)与双腔起搏器DDD模式的患者(双腔组)各40例。生活质量量表(SF)-36生活质量量表评估1组治疗前及治疗后生活质量,同时间进行动态血压、动态心电图检测,分析检测结果与生活质量的关系。结果治疗前2组SF-36评分、动态血压及心电图差异均无统计学意义(P>0.05),治疗后2组患者SF-36评分、R-R间期标准差(SDNN)、R-R间期平均标准差(SDANN)及R-R间期差值的均方根(r MSSD)同样差异无统计学意义(P>0.05),较治疗前均升高(P<0.05)。而治疗后双腔组收缩压、舒张压均低于单腔组,平均动脉压与心室率则高于(P<0.05)。单腔组治疗后舒张压、平均动脉压无相关性(P>0.05),收缩压低于治疗前,平均心室率则高于治疗前(P<0.05)。经Pearson相关系数分析,双腔组收缩压、舒张压及单腔组收缩压、舒张压、平均动脉压与SF-36评分无相关性(P>0.05),而双腔组平均动脉压与SF-36评分呈负相关(r=0.68,P<0.001),2组平均心室率、SDNN、SDANN、r MSSD与SF-36评分呈正相关(P<0.05)。结论永久性单腔、双腔心脏起搏器植入可以有效提高患者的生活质量,但其中单腔起搏对患者的血压影响较不稳定;监测患者的动态动脉压、心室率以及动态心电图可有效评估患者的植入后的生活质量,这对于未来提升永久性心脏起搏器植入的治疗效果有着重要意义。Objective To explore the correlation between ambulatory electrocardiogram,ambulatory blood pressure and quality of life in patients with permanent artificial cardiac pacemaker implantation.Methods Eighty patients with basically normal pacemaker function who were admitted to our hospital from October 2019 to August 2020 after permanent artificial cardiac pacemaker implantation for more than 3 months were selected as the study objects,including 40 patients using single chamber pacemaker VVI mode(single chamber group)and 40 patients using dual chamber pacemaker DDD mode(dual chamber group).SF-36 quality of life scale was used to evaluate the quality of life of the two groups before and after treatment.Ambulatory blood pressure and dynamic electrocardiogram were measured at the same time,and the relationship between the test results and quality of life was analyzed.Results There were no difference in SF-36 score,ambulatory blood pressure and ECG between the two groups before treatment(P>0.05),and there was no difference in SF-36 score,SDNN,SDANN and rMSSD between the two groups after treatment(P>0.05),which were higher than before treatment(P<0.05).After treatment,the systolic blood pressure and diastolic blood pressure in the double chamber group were lower than those in the single chamber group,and the mean arterial pressure and ventricular rate were higher than those in the single chamber group(P<0.05).In the single chamber group,the diastolic pressure and mean arterial pressure did not change after treatment(P>0.05),the systolic pressure was lower than that before treatment,and the mean ventricular rate was higher than that before treatment(P<0.05).The Pearson correlation coefficient analysis showed that the systolic blood pressure,diastolic blood pressure and mean arterial pressure in the double chamber group and the single chamber group had no relationship with the SF-36 score(P>0.05),while the mean arterial pressure in the double chamber group was negatively correlated with the SF-36 score(r=-0.68,P<0.001),and

关 键 词：心脏起搏器 人工 心电描记术 血压 生活质量 

分 类 号：R541.7[医药卫生—心血管疾病]