摘要
目的分析频率适应性起搏器对老年病态窦房结综合征(SSS)患者生活质量的影响,探讨其临床应用价值。方法选取本院2010年3月至2013年10月行频率适应性起搏器植入的58例老年SSS患者,按照患者意愿分为双腔频率适应性起搏器(DDDR)组和单右室心尖部起搏器(VVI)组,每组各29例。比较两组患者起搏器植入前及末次随访时心脏超声指标、心功能以及生活质量。结果两组患者末次随访时左室射血分数(LVEF)、左室短轴缩短率(LVFS)水平较起搏器植入前均显著升高,左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)、二尖瓣反流量(MR)水平较起搏器植入前均显著下降,DDDR组变化更为明显,差异均有显著性(P<0.05)。末次随访时两组患者心功能分级、QRS波宽度、氨基末端脑钠肽前体(NT-pro BNP)水平均较起搏器植入前显著下降,DDDR组下降更为明显,差异均有显著性(P<0.05)。末次随访时两组患者生理功能、角色限制、活力、社会功能、精神健康、总体健康均较起搏器植入前显著改善,DDDR组改善更为明显(P<0.05),两组患者起搏器植入前、末次随访时机体疼痛、角色情绪均未见明显变化(P>0.05)。结论频率适应性起搏器可有效改善老年SSS患者心功能和活动能力,但部分患者术后会出现疼痛、负面情绪,在明确治疗适应证的同时,应做好对患者的心理护理,最大限度地改善其生活质量。
Objective To analyze the rate adaptive pacemaker of sick sinus syndrome （SSS） quality of life of patients, and to explore its clinical application value. Method Selected the hospital from March 2010 to October 2013 for rate adaptive pacemaker implantation in the treatment of 58 cases of elderly patients with SSS, in accordance with the wishes they were divided into the two dual chamber rate adaptive pacemaker （DDDR） group and the single right ventricular apical pacing （VVI） group, 29 cases in each group. Compared two groups of patients with pacemaker implantation and at the time of the latest follow-up echocardiographic indexes, heart function and quality of life. Result Two groups of patients at the time of the latest follow-up LVEF, LVFS levels were signiifcantly increased, LVESD, LVEDD, MR levels were signiifcantly decreased, the changes of DDDR group was more obvious, the difference was signiifcant （P 0.05）. Conclusion Rate adaptive pacemaker can＆nbsp;effectively improve the cardiac function in elderly patients with SSS, the activity has improved signiifcantly, but some patients may have pain, negative emotions, in clear indications of the treatment at the same time, should do a good job of psychological nursing of patients, the maximum to improve their quality of life.
出处
《中国医学前沿杂志（电子版）》
2015年第3期100-103,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
