单腔心室不同起搏部位对缓慢心律失常患者影响

The Effects of Different Pacing Sites on the Patients With Slow Arrhythmia

目的研究单腔心室不同起搏部位对缓慢心律失常患者治疗的影响。方法根据2009年1月～2012年2月我院的286例植入永久性起搏器的心律失常患者进行探讨分析,分成A、B、C三组,对三组患者进行三年随访,根据患者的各项指标来进行对比分析。结果经过跟踪随访发现,B组和C组患者的各项水平均要由于A组,P〈0.05,差异具有统计学意义。LVEF水平要比A组患者高,P〈0.05,差异具有统计学意义。B组的QRSd水平比C组低,P〈0.05,差异具有统计学意义。结论缓慢心率失常患者临床接受心脏起搏器植入时,应该选择右室间隔部起搏,可以对右心室的功能起到较大的改善,而且该部位的起搏和生理性起搏要更加吻合,效果更突出。

Objective To analysis the influence of single chamber ventricular different pacing site on slow arrhythmia patients. Methods Selected 286 cases of implanted permanent pacemaker arrhythmia patients from January 2009 to February 2012 in our hospital, which were divided into a, B, C three groups, three groups of patients were followed up for three years, according to the indicators of patients carries on the contrast analysis. Results After follow-up, group B and group C were the level to due to group A, P〈0.05, was difference statistically significance. The level of LVEF was higher than that of the A group, P〈0.05, was difference statistically significance The QRSd level of B group was lower than that of C group, P〈0.05, was difference statistically significance. Conclusion Slow arrhythmia patients underwent implantation of a pacemaker, should choose right ventricular septal pacing and a greater improvement on the function of the right ventricle, and the site of pacing and physiologic pacing to more consistent, so the effect is prominent.