摘要
目的探讨动态优化起搏系统改善植入者生活质量的效果及方法学。方法120例接受永久起搏治疗的患者,采用常规心电图、动态心电图、超声心动图、6-min步行测距、生活质量评分等指标,观察起搏系统干预前后的疗效、心功能分级和生活质量变化。结果随访期内实施起搏系统干预共387次,其中调整房室延迟(AVD)61例(含双室起搏16例),调整起搏频率42例;调整感知性能20例;改变起搏模式6例;起搏故障探查5例;心室起搏(VVI)改双腔起搏(DDD)6例;纠治起搏器介导性心动过速3例;持续性房颤加行房室结阻断有效控制心室率6例。优化起搏系统前后,SF-36量表的分值有显著提高(P<0.05)。结论优化起搏系统可确保起搏治疗高效、安全、节能,显著提高患者生活质量;起搏系统优化应坚持提高随访效率,因人、因时而异实施。
Objective To observe the outcomes of dynamically adjusting pacemaker parameters and/or pacing hardware during continuous follow-up in the patients with pacemakers. Methods One humdred and twenty patients who were implantated pacemakers were selected. ECG, Holter monitoring electrocardigram, ultrasonic cardiogram, cardiac function, 6-minutes walk, quality of life, were performed for evaluating the effect of treatments and quality of life during follow-up. Results The intervention during follow-up included adjusting AVD in 61 cases （including 16 cases with biventricular pacing）, pacing frequency in 42, sensation （including PMT 3）, checking pacing malfunction in 5 in 20 （including PMT 2）, pacing pattern in 6 cases. Tachycardia induced by pacemaker was reversed in 3 patients. Ventricular rythm was controlled effectively by implanting single chamber pacemakers in 6 patients with permanent atrial fibrillation after atrial ventricular node. The scores of SF-36 were higher after intervention than those before. Conclusion Life quality of patients with pacemakers can be improved by adjusting pacing system individually, timely and reasonably.
出处
《江苏医药》
CAS
CSCD
北大核心
2008年第4期325-327,共3页
Jiangsu Medical Journal
关键词
生活质量
心脏起搏
Quality of life,Cardiac pacing
