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瓣膜手术同期行心房颤动双极射频消融术早期临床疗效分析 被引量:6

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摘要 目的探讨瓣膜手术同期行心房颤动双极射频消融术早期临床效果。方法选取同期行心脏瓣膜手术及双极射频消融术的心房颤动患者62例为实验组,另选取同期行瓣膜手术但未行射频消融术的心房颤动患者113例为对照组,分析其住院期间的临床资料,评估术后患者心律转复及维持、心脏结构及心脏功能。结果实验组患者术后转复为窦性心律比例为90.32%(56/62),对照组为77.08%(8/113),对照组低于实验组(P=0.000)。实验组体外循环时间、主动脉阻断时间、术后引流液量高于对照组(P<0.05)。术后,两组患者左心房内径,右心房内径,左室舒末内径均较术前减小(P<0.05);实验组左心房内径、右心房内径、左室舒末内径小于对照组(P<0.05),且左室射血分数明于对照组(P<0.05)。结论在瓣膜手术的同时行双极射频消融手术,能有效转复患者心房颤动心律为窦性心律,可进一步改善患者的心脏功能。
出处 《临床医学》 CAS 2018年第1期55-57,共3页 Clinical Medicine
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