球囊漂浮电极在心脏临时起搏治疗严重心动过缓患者中的临床研究  

Effect of temporary cardiac pacing with balloon floating electrodes on treating severe bradycardia

作　　者：赵枫萍 韩晓娟 ZHAO Feng-ping;HAN Xiao-juan

机构地区：[1]上海市奉贤区中心医院心电图科,上海201400

出　　处：《中国疗养医学》2024年第11期100-103,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的观察球囊漂浮电极置入在严重心动过缓患者进行心脏临时起搏治疗中的效果。方法选择2020年1月至2023年12月于上海市奉贤区中心医院接受治疗的200例严重心动过缓患者,按照乱数表分为对照组(99例,采用普通电极置入进行心脏临时起搏治疗),观察组(101例,采用球囊漂浮电极置入进行心脏临时起搏治疗),观察两组起搏及置管情况、电极到位情况、并发症情况。结果两组起搏成功率、留管时间、导管脱位率比较,差异无统计学意义(P>0.05);观察组起搏成功时间(8.85±1.31)min较对照组(12.83±2.24)min短,差异有统计学意义(P<0.05)。两组电极右心室心尖部到位率、电极右心室流出通道到位率比较,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论在严重心动过缓患者进行心脏临时起搏治疗中采用普通电极与球囊漂浮电极的起搏成功率、电极右心室心尖部到位率、电极右心室流出通道到位率及安全性均较好,但采用球囊漂浮电极置入能够缩短起搏成功时间。Objective To investigate the efficacy of temporary cardiac pacing using balloon floating electrodes on treating severe bradycardia.Methods Two hundred patients with severe bradycardia who underwent treatment at Shanghai Fengxian District Central Hospital between January 2020 and December 2023 were included in the study.Employing a random number table method,they were divided into a control group(99 cases)receiving temporary cardiac pacing treatment with ordinary electrode placement,and an observation group(101 cases)treated with balloon-floating electrode placement for temporary cardiac pacing.Pacing and catheterization conditions,electrode positioning,and complications in both groups were compared.Results There were no significant differences in pacing success rate,catheter retention time,and catheter dislocation rate between the two groups(P>0.05).The successful pacing success time of the observation group was significantly shorter than the control group(8.85±1.31)min VS(12.83±2.24)min(P<0.05).There were no significant differences in the insertion rate of the right ventricular apex and the insertion rate of the right ventricular outflow channel between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion The success rate,right ventricular apex insertion rate,right ventricular outflow channel insertion rate,and safety of using ordinary electrodes and balloon floating electrodes for temporary cardiac pacing on treating severe bradycardia are all good.However,the use of balloon floating electrodes can shorten the pacing success time.

关 键 词：心动过缓 心脏临时起搏 普通电极 球囊漂浮电极 起搏成功率 导管脱位率 

分 类 号：R54[医药卫生—心血管疾病]