食道心房调搏治疗室上性心动过速临床分析

Clinical Analysis of Supraventricular Tachycardia Treated by Transesophageal Atrial Pacing

目的对食道心房调搏治疗室上性心动过速进行临床分析。方法将160例室上性心动过速患者随机进行分组,常规组患者80例,进行常规心电图检查及临床治疗;改良组患者80例,应用食道心电检查,同时给予食道心房调搏治疗,对两组患者的治疗效果进行分析。结果改良患者的临床有效率、临床不良反应的发生比例、心律失常缓解时间优越于常规组患者,差异具有统计学意义(P<0.05)。两组患者均没有重症临床不良反应的发生。结论对室上性心动过速患者应用食道心房调搏治疗可有效改善患者的心律失常,提高临床治疗效果,缩短临床症状缓解时间,降低临床不良反应,安全性较高。

Objective To analyze supraventricular tachycardia treated by transesophageal atrial pacing.Methods 160 cases of patients with supraventricular tachycardia were randomly divided into regular group and improved group,regular group with 80 cases received regular ECG examination and clinical treatment, improved group with 80 cases accepted esophagus ECG examination and transesophageal atrial pacing. The treatment effect of two groups of patients were analyzed.Results The clinical effective rate ,the incidence of adverse reactions and arrhythmia remission time of improved group were significantly superior to regular group,differences had statistical significance（P 〈 0.05）. There were no severe clinical adverse reactions in the two groups.Conclusion For supraventricular tachycardia patients,transesophageal atrial pacing therapy can effectively improve arrhythmia,improve clinical effects,shorten clinical symptoms remission time,reduce adverse reactions,it has high security and it is suitable for clinical applications.