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心脏不停跳与停跳下双极射频消融迷宫术治疗房颤的近中期对比研究 被引量:2

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摘要 目的:通过对比研究心内直视手术下心脏不停跳与停跳双极射频消融迷宫术治疗房颤的近、中期效果,探索一种更安全、有效的房颤外科治疗方法。方法:回顾分析2009年6月至2010年12月在本院行心内直视手术同期双极射频消融迷宫术的房颤患者共50例,根据消融时心脏搏动状态的不同分为不停跳组(n=25)和停跳组(n=25),对其进行围手术期、术后3个月和3年随访,对比研究各项指标,评价窦性心律恢复率在2组间的差异。结果:术前一般临床资料,2组差异无显著性(P>0.05);与停跳组比较,不停跳组术中体外循环时间和主动脉阻断时间明显缩短[(90.31±16.53)min vs.(107.25±17.01)min,P<0.05;(38.23±12.52)min vs.(66.58±19.79)min,P<0.05];术后呼吸机使用时间、监护时间和并发症等2组差异无显著性(P>0.05);窦性心律恢复率在出院时和术后3年明显增高(96%vs.68%,P<0.05;88%vs.60%,P<0.05)。结论 :心脏不停跳射频消融迷宫术治疗房颤在近、中期窦性心律恢复率均明显高于停跳下射频消融迷宫术。
出处 《实用医学杂志》 CAS 北大核心 2016年第6期933-936,共4页 The Journal of Practical Medicine
基金 广西医疗卫生重点科研课题(编号:重2011112)
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