| 慢性心房颤动患者射频消融术后生活质量及临床症状变化 |
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| 引用本文： | 鲁明军,吴书林,廖禄明,薛玉梅,黄俊,杨平珍,詹贤章. 慢性心房颤动患者射频消融术后生活质量及临床症状变化[J]. 岭南心血管病杂志, 2009, 15(4): 287-290. DOI: 10.3969/j.issn.1007-9688.2009.04.012 |
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| 作者姓名： | 鲁明军 吴书林 廖禄明 薛玉梅 黄俊 杨平珍 詹贤章 |
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| 作者单位： | 广东省人民医院,广东省医学科学院,广东省心血管病研究所,广州,510010 |
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| 基金项目： | 广东省医学科学技术研究基金 |
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| 摘 要： | 目的 通过观察患者生活质量和临床症状的变化来探讨射频消融术治疗慢性心房颤动(atrialfibrillation,AF)的疗效.方法 41例慢性AF患者接受经导管射频消融术,于术前3 d内和术后3个月用SF-36量表及症状列表评估患者生活质量和症状严重程度.结果 41例慢性AF患者接受射频消融术治疗,随访时间178 d～515 d,36例顺利完成随访并按消融术效果分为成功组(23例)和复发组(13例).射频消融术后3个月的生活质量评分与术前比较,躯体功能、躯体角色、社会功能、情感角色和精力有明显提高(P<0.05),而肌体疼痛、心理健康和总的健康状况方面差异无统计学意义(P>0.05).术后3个月的临床症状评分与术前比较,心悸与心动过速症状减轻,而呼吸困难、胸痛、头昏和活动受限变化差异无统计学意义.从治疗结果 分析,成功组和总体改变一致,而复发组虽然心悸和心动过速症状减轻,但在生活质量的8个维度评分变化差异无统计学意义(P>0.05).结论 慢性AF患者接受导管射频消融术后可以减轻症状,改善生活质量.
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| 关 键 词： | 心房颤动 导管消融术 心房功能,左 生活质量 |
Quality of life and clinical symptom in patients with chronic atrial fibrillation after radiofrequency catheter ablation |
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| LU Ming-jun,WU Shu-lin,LIAO Lu-ming,XUE Yu-mei,HUAN Jun,YANG Ping-zhen,ZHANG Xian-zhang. Quality of life and clinical symptom in patients with chronic atrial fibrillation after radiofrequency catheter ablation[J]. South China Journal of Cardiovascular Diseases, 2009, 15(4): 287-290. DOI: 10.3969/j.issn.1007-9688.2009.04.012 |
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| Authors: | LU Ming-jun WU Shu-lin LIAO Lu-ming XUE Yu-mei HUAN Jun YANG Ping-zhen ZHANG Xian-zhang |
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| Affiliation: | Guangdong Cardiovascular Institute;Guangdong Academy of Medical Sciences;Guangdong General Hospital;Guangzhou 510100;China |
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| Abstract: | Objectives To investigate quality of life (QOL) and clinical symptoms in patients with chronic atrial fibrillation ( AF) after radiofrequency catheter ablation ( RFCA). Methods Forty-one patients with chronic AF underwent RFCA. QOL and clinical symptoms were assessed by Medical Outcomes Study Short Form-36 (SF-36) and Symptom Checklist at baseline and 3-month after RFCA. Results After a follow-up of 178 to 515 days, there were 36 cases successful completed the follow-up process. Twenty three patients were f... |
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| Keywords: | atrial fibrillation radiofrequency catheter ablation left atrial function quality of life |
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