摘要
【目的】探讨射频消融术(RFA)治疗房颤对患者心功能及生活质量的影响。【方法】选取我院(2016年12月~2018年3月)收治的心房颤动患者112例,根据治疗方法不同分为药物组和RFA组。对照组患者采用药物治疗,观察组患者采用RFA治疗。比较两组患者治疗前、治疗后3个月心功能指标,并分析两组患者治疗前、治疗3个月后生活质量情况。【结果】治疗后,观察组患者左房容积指数最大值(LAVImax)、左房容积指数最小值(LAVImin)水平低于对照组,左室射血分数(LVEF)高于对照组,差异有统计学意义(P<0.05);但左室内径(LVD)水平与对照组比较,差异无统计学意义(P>0.05)。治疗前,两组患者各项生活质量评分比较,差异无统计学意义(P>0.05)。治疗后,观察组患者一般健康与生活质量评分高于对照组,差异有统计学意义(P<0.05);但心理健康、社会功能、独立生活能力评分与对照组比较,差异无统计学意义(P>0.05)。【结论】RFA治疗房颤可改善患者心功能,提高患者一般健康与生活质量,值得临床借鉴。
【Objective】To investigate the effect of radiofrequency ablation(RFA)on cardiac function and quality of life in patients with atrial fibrillation.【Methods】A total of 112 patients with atrial fibrillation in our hospital from December 2016 to March 2018 was selected and divided into drug group and RFA group according to different treatment methods.Patients in the control group were treated with drugs,while patients in the observation group were treated with RFA.The cardiac function indexes before and 3 months after treatment were compared between the two groups,and the quality of life of the two groups before and after 3 months of treatment was analyzed.【Results】After treatment,the maximum value of left atrial volume index(LAVImax)and minimum left atrial volume index(LAVImin)of the observation group were lower than those of the control group,and the left ventricular ejection fraction(LVEF)was higher than that of the control group,the difference was statistically significant(P<0.05);but there was no significant difference in the level of left ventricular diameter(LVD)between the observation group and the control group(P>0.05).Before treatment,there was no significant difference in quality of life scores between the two groups(P>0.05).After treatment,the scores of general health and quality of life in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05),but there was no significant difference in the scores of mental health,social function and independent living ability between the two groups(P>0.05).【Conclusion】RFA in the treatment of atrial fibrillation can improve the cardiac function,improve the general health and quality of life of patients,which is worthy of clinical reference.
作者
董国政
马鹏飞
DONG Guo-zheng;MA Peng-fei(Xianyang Hospital of Yan'an University,Shaanxi Xianyang 712000)
出处
《医学临床研究》
CAS
2020年第7期1036-1038,共3页
Journal of Clinical Research
关键词
心房颤动
导管消融术
心脏功能试验
生活质量
Atrial Fibrillation
Catheter Ablation
Heart Function Tests
Quality of Life
