不同类型起搏模式对老年心律失常患者生活质量的长期影响

The long-term effect of different pacing modes on quality of life in old patients with arrhythmia

目的探讨不同类型起搏模式对老年病态窦房结综合征患者生活质量的长期影响。方法将以心动过缓为主的老年病态窦房结综合征患者298例,择期置入心房按需型起搏(AAI,31例)、心室按需型起搏(VVI,35例)、房室全能型起搏(DDD,126例)和房室全能型频率应答起搏(DDDR,106例)模式的起搏器。起搏器置入即刻及随后每6个月进行定期随访,采用SF-36生活质量调查表,进行动态ECG、症状限制性活动平板运动试验、超声心动图测定。结果298例患者起搏器置入后SF-36生活质量调查表总评分较置入前提高(P<0.05)。AAI和DDDR模式下,起搏器置入后SF-36生活质量调查表总评分较置入前提高(P<0.05);DDD和VVI模式下,起搏器置入后SF-36生活质量调查表总评分较置入前有提高,但差异无显著性意义(P>0.05)。结论起搏器可以改善老年病态窦房结综合征患者的生活质量。

Objective To investigate the long term effect of different pacing modes on qulity of life in old patients with sick sinus syndrome（SSS）. Methods 298 old patients with SSS in terms of clinical manifestation, Holter and treadmill underwent different modes of pacing. The patients were followed up instantly and every 6 months after implantation of the pacemaker. The SF-36 quality-of-life questionaire was used to evaluate the quality of life with different pacing modes. Results The scores of SF-36 were significantly increased（ P〈0.05） in 298 patients after implan- tation of pacemaker. The scores of SF-36 were significantly increased in （ P〈0.05） patients receiving AAI and DDDR modes, but the scores of SF-36 were not significantly increased （ P〉0.05） in those receiving DDD and VVI modes. Conclusion The implantation of pacemaker improves health-related qulity of life in elderly patients with sick sinus syndrome.