环肺静脉消融术对心房颤动患者生活质量的影响

目的:评价环肺静脉消融术(CPVA)对心房颤动患者生活质量的影响。方法:应用SF-36量表对56例接受CPVA的心房颤动患者,分别于入院时和消融后6个月进行生活质量评价。结果:随访(13±4)个月,43例(77%)患者维持窦性心律。6个月后SF-36量表中除肌体疼痛差异无统计学意义外,躯体功能、躯体角色、总体健康状况、活力、社会功能、精神角色和精神健康均较消融前有明显改善(P<0.05)。总躯体健康评分从(68±15)分提高至(76±15)分(P<0.01),总精神健康评分从(63±16)分提高至(73±17)分(P<0.01)。结论:CPVA能明显改善心房颤动患者的生活质量,尤其在消融成功者中,CPVA可使患者生活质量明显改善。

Effects of circumferential pulmonary vein ablation on life quality of patients with atrial fibrillation

Objective： To evaluate the effects of circumferential pulmonary vein ablation（CPVA） on quality of life（QOL） of patients with atrial fibrillation（AF）.Methods： QOL of 56 patients with AF received CPVI and evaluated by Short Form-36（SF-36）at baseline and 6-month after CPVI.Results： After a mean follow-up of 13±4 months,43 patients were free from AF without anti-arrhythmic drugs.There were significant improvements in QOL（except for body pain） after CPVA.The physical component summary scores（PCS） of SF-36 were 68±15 and 76±15 before and after treatment,respectively,with significant improvement（P〈0.01）,while the mental component summary scores（MCS） were 63±16 and 73±17,respectively,with significant improvement（P〈0.01）.Conclusion：QOL of patients with AF can be improved after CPVA in particular in patients free from AF after treatment.