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。
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 pal 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 a special form to follow up Af symptoms, employment status and physical strength after RFCA. The data were collected in the eve ning before RFCA, and evaluated in, 1 month and 3 months after RFCA by echocardiography. Result：The LVEF in patients who restore the sinus rhythm improved （P〈0. 001） after RFCA. There were significant improvements in the following SF-36 measures （P〈0. 0001, vitality P〈0. 005） ： physical component score, mental component score, physical functioning ,role limitations due to physical-health problems, bodily pain, vitality, social functio- ning, role limitations due to emotional health problems and mental health. General health perceptions did not change significantly. The main reason for the improvement of quality of life is the restore of sinus rhythm. Most of the patients felt that regaining of physical strength was slow. After RFCA most patients resumed their work. Conclusion： Successful RFCA could significantly improve both objective cardiac function index and quality of life. It was an ideal method for the treatment of pAf according to the standards of social psychological biomedicine.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2009年第1期39-41,共3页
Journal of Clinical Cardiology
关键词
持续性心房颤动
射频消融术
生活质量
persistent atrial fibrillation
radiofrequency of catheter ablation
quality of life
