导管消融术对心房颤动患者生活质量的影响

Evaluation of catheter ablation on quality of life in patients with atrial fibrillation

目的探讨导管消融术对心房颤动（房颤）患者生活质量的影响。方法70例房颤患者接受导管消融，男40例，女30例，年龄（51．2±16．1）岁，于消融术前和术后1、3、6个月用SF-36健康随访表评估患者生活质量，66例顺利完成随访，按消融效果分为成功组（54例）和复发组（12例）。结果射频消融术后1、3、6个月的房颤患者生活质量评分与消融前比较，躯体功能、躯体角色、社会功能、情感状态和精力有明显提高（P〈0，05），其中除了社会功能外，其余4个指标消融术后各个时间点比较，差异无统计学意义（P〉0．05），而社会功能消融术后各时间点进行比较，差异有统计学意义（P〈0．05），而驱体疼痛、心理健康和总的健康感觉方面差异无统计学意义（P〉0．05）。成功组的房颤患者射频消融术后1、3、6个月的生活质量评分与消融前比较，躯体功能、躯体角色、社会功能、情感状态和精力有明显改善（P〈0．05）。复发组生活质量8个评价指标分值变化的差异无统计学意义（P〉0．05）。结论导管消融术可以早期改善房颤患者的生活质量。

Objective We explored the impact of radiofrequency catheter ablation（RFCA） on quality of life in patients with atrial fibrillation （AF）. Methods There were 70 patients who had undergone successful RFCA. The world popular Short-Form 36 （ SF-36 ） was used to evaluate the quality of life in these patients. The data were collected in the evening before RFCA, and evaluated in 1 month,3 months and 6 months after ablation. A total of 66 patients who completed follow-up were divided into 2 groups,54 patients succeed group and 12 patients recurred group. Results There were significant improvement in the following SF-36 measures in succeed group （P 〈 0. 05 ）including physical component score, physical functioning, role limitations due to physical health problems, social functioning, role limitations due to emotional health problems and mental health, vitality. Bodily pain, mental component score and general health perceptions did not change significantly （ P 〉 0. 05）. There were no significant improvement in recurred group. Conclusion Successful catheter ablation could significantly improve early quality of life in the patients with artrial fibrillation.