基于CARTO三维标测的围手术期护理在心房颤动射频消融中的应用

Application of perioperative nursing based on CARTO three-dimensional mapping in radiofrequency ablation of atrial fibrillation

目的:探讨基于三维电解剖标测系统CARTO的围手术期护理在心房颤动射频消融中的应用价值,为患者的诊疗提供指导。方法:选择2017年1月至2019年7月在皖北煤电集团总医院接受房颤射频手术治疗的患者70例为研究对象。所有患者在CARTO指导下完成房颤射频消融术,分析其相关的护理干预工作。结果:所有患者均成功完成手术,手术时间为(214.84±55.79) min,治疗总有效率为97.14%,护理满意度为98.57%。其中5例持续性房颤术后仍出现房颤现象,经即刻电转复后恢复窦律。术中未出现并发症,术后3个月无其他严重并发症发生。随访3~12月,阵发性房颤出现1例复发,手术成功率为97.91%,持续性房颤中2例复发,手术成功率为90.91%。结论:有效的护理措施在基于CARTO三维标测房颤射频消融术中的应用效果显著,能够通过对术前、术中、术后制定有效的护理措施,减轻患者术前术后心理压力,提高手术成功率,减少术后复发情况,更加安全有效,值得临床推广应用。

Objective:To explore the application value of perioperative nursing based on three-dimensional electroanatomic mapping system(CARTO)in radiofrequency ablation of atrial fibrillation(AF)and to provide guidance for patients’diagnosis and treatment.Methods:A total of 70 patients who underwent radiofrequency surgery for AF in Wanbei Coal Power Group General Hospital from January 2017 to July 2019 were selected as study subjects.All patients underwent CARTO-guided radiofrequency ablation of AF and analyzed their related nursing interventions.Results:All patients successfully completed the operation.The operation time was(214.84±55.79)min.The total effective rate was 97.14%,and the nursing satisfaction was 98.57%.Among them,AF still occurred in 5 patients with persistent AF,and sinus rhythm was restored after immediate electrical conversion.There were no complications during the operation,no other serious complications occurred after 3 months.Follow-up was 3 to 12 months,one case of recurrent AF showed a recurrence rate of 97.91%,two cases of persistent AF recurred and the rate of success was 90.91%.Conclusion:Effective nursing measures have significant effects in the application of CARTO three-dimensional radiofrequency ablation of AF.The effective nursing measures can be developed before,during and after surgery to reduce the psychological pressure of patients before and after surgery and improve the success of surgery rate,reducing postoperative recurrence,being safer and more effective,and worthy of clinical promotion and application.