床旁临时心脏起搏术在严重缓慢性心律失常患者抢救中的价值

The Value of Bedside Temporary Cardiac Pacing in Severe Slow Arrhythmia Patients in Emergency

目的探讨床旁临时心脏起搏术在抢救急诊科严萤缓慢性心律失常患者中的临床应用价值。方法选取2013年8月．2014年8月我院急诊科的严重缓慢型心律失常患者22例作为观察组。同期选取住院的23例在DSA引导下安装临时心脏起搏器的患者作为对照组。观察组给予床旁安装心脏起搏器。观察比较两组心脏起搏器的安装时间、一次起搏成功率、一次点击未到率。术后观察比较两组的并发症情况及临床疗效。结果观察组床边临时心脏起搏器的安装时间明显要短于对照组，差异高度有统计学意义（P〈0．01）：一次起搏成功率、一次点击未到位与对照组比较，差异均无统计学意义（P〉0．05）。观察组术区血肿、心律失常、电极脱位、导管相关性感染、起搏器综合征等并发症的发生率与对照组比较．差异均无统计学意义（P〉0．05）。观察组自身窦性心律恢复率、术后1周后自身窦性心律恢复率以及死亡率与对照组比较．差异均无统计学意义（P〉0．05）。结论床旁临时心脏起搏在急诊科抢救严重缓慢性心律失常患者中是一项简单而适用的方法，其安全性好，操作方便，并发症少，疗效可，值得推广应用。

Objective To investigate the effect of bedside temporary cardiac pacing in the treatment of emergency severe slow arrhythmia patients in clinical application. Methods The emergency department of our hospital in 2013 August to 2014 August in patients with severe bradycardia 22 cases as the observation group, were selected to install temporary pacemaker in DSA under the guidance of the hospitalized patients 23 cases as control group. The observation group was given the bedside pacemaker. Observe the installation time, compared two groups of cardiac pacemaker pacing success rate, a one click to rate, to observe the clinical curative effect and complications of two groups were compared after operation. Results The installation time of the observation group bedside temporary cardiac pacemaker is significantly shorter than the control group, the difference was statistically significant（P〈0.01） height; a pacing success rate, a click is not in place compared with the control group, the difference was not statistically significant （P〉0.05）. Observation of complications postoperative hematoma; arrhythmia, dislocation of electrode and catheter related infection, the incidence of pacemaker syndrome compared with the control group, the difference was not statistically significant（P〉0.05）. The observation group the sinus rhythm recovery rate and postoperative 1 weeks after their sinus rhythm recovery rate and the mortality rate compared with the control group, the difference was not statistically significant （P〉0.05）. Conclusions The bedside temporary cardiac pacing in the emergency department treatment of severe slow arrhythmia patients is a simple and applicable method, good safety, convenient operation, less complications, the curative effect, it is worthv of nonularizatinn and application.