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射频消融术对持续性心房颤动患者生活质量的影响
引用本文:卢英民,张颖,伍旭升,李毅刚,韩冰,黄达民,刘闯,石一夫,岳冬梅,毛焕元. 射频消融术对持续性心房颤动患者生活质量的影响[J]. 临床心血管病杂志, 2009, 25(1)
作者姓名:卢英民  张颖  伍旭升  李毅刚  韩冰  黄达民  刘闯  石一夫  岳冬梅  毛焕元
作者单位:1. 上海市大华医院心内科,上海,200237
2. 上海市新华医院心内科
3. 徐州市第四人民医院心内科
4. 上海市第五人民医院心内科
5. 华中科技大学协和医院心内科,华中科技大学同济医学院心血管病研究所
摘    要:目的:观察射频消融术(RFCA)对持续性心房颤动(pAf)患者生活质量的影响.方法:接受RFCA治疗的成功病例50例,采用问卷调查方式,选用国际上流行的简短表格-36(SF-36)和自行设计的针对pAf介入治疗术后情况的随访.术前资料于手术前一晚采集,术后1个月及3个月以信访、门诊复查的方式发放问卷.同时比较了手术前后超声心动图测量的左室射血分数.结果:术后恢复窦性心律患者左室收缩功能较术前增加(P<0.01).简短表格-36中各项计分除总体健康感觉外,手术前后均差异有统计学意义,术后1个月及术后3个月计分均较术前显著提高(P<0.01,精力及活力为P<0.05),但术后1个月与术后3个月之间差异无统计学意义.心律恢复是术后早期生活质量提高的主要原因.半数以上患者术后体力恢复较慢,大部分在随访期内恢复正常工作.结论:RFCA可改善客观的心脏功能指标,显著提高pAf患者的生活质量,从社会心理生物医学模式的标准看是pAf治疗的理想方法.

关 键 词:持续性心房颤动  射频消融术  生活质量

The impact of radiofrequency of catheter ablation on quality of life in the patients of persistent artrial fibrillation
LU Yingmin,ZHANG Ying,WU Xusheng,LI Yigang,HAN Bing,HUANG Damin,LIU Chuang,SHI Yifu,YUE Dongmei,MAO Huanyuan. The impact of radiofrequency of catheter ablation on quality of life in the patients of persistent artrial fibrillation[J]. Journal of Clinical Cardiology, 2009, 25(1)
Authors:LU Yingmin  ZHANG Ying  WU Xusheng  LI Yigang  HAN Bing  HUANG Damin  LIU Chuang  SHI Yifu  YUE Dongmei  MAO Huanyuan
Affiliation:1Department of Cardiology;Dahua Hospital of Shanghai City;Shanghai 200237;2Department of Cardiology;the Fifth Hospital of Shanghai City;3Department of Cardiology;the Forth Hospital of Xuzhou City;4Department of Cardiology;the Xinhua Hospital of Shanghai City;5Department of Cardiology;the Union Hospital;Tongji Medical College;Huazhong University os Science and Technology
Abstract:Objective:We explored the impact of Radiofrequency of Catheter Ablation(RFCA)on the quality of life(QOL)in the patients of persistent atrial fibrillation(pAf)to verify this therapy could improve both physiological index and quality of life of the patients.this was an ideal method for the treatment of pAf from both medicine and sociology aspects.Method:There were 60 patients who had undergone successful RFCA.The world popular Short-Form 36(SF-36)was used to evaluate the QOL of these patients.We also designed...
Keywords:persistent atrial fibrillation  radiofrequency of catheter ablation  quality of life  
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