不同心脏起搏器植入方式在缓慢型心律失常治疗中的效果对比

Comparison of Different Pacemaker Implantation Methods in the Treatment of Bradyarrhythmias

目的:探究不同心脏起搏器植入方式在缓慢型心律失常治疗中的效果对比。方法:选取2017年2月~2019年4月本院收治的缓慢型心律失常患者112例,根据不同治疗方案分为双腔组和单腔组,各56例。单腔组予单腔心脏起搏器治疗,双腔组予双腔心脏起搏器治疗。比较两组治疗前后血清水平、血流动力学指标及心脏功能水平。结果:治疗后,双腔组SBP、DBP、CO和CI均显著高于单腔组(P<0.05);双腔组NT-proBNP水平显著低于单腔组(P<0.05)。结论:给予缓慢型心律失常患者双腔心脏起搏器治疗,可使血流动力学指标显著改善,NT-proBNP水平显著降低,进而使患者心功能显著恢复。

Objective:To explore the effects of different pacemaker implantation methods in the treatment of bradyarrhythmias.Methods:A total of 112 patients with bradyarrhythmias treated in our hospital from February 2017 to April 2019 were selected and divided into a dual-cavity group and a single-cavity group with 56 patients each according to different treatment schemes.The single-chamber group was treated with a single-chamber pacemaker,and the dual-chamber group was treated with a dual-chamber pacemaker.The serum levels,hemodynamic indexes and cardiac function were compared between the two groups before and after treatment.Results:After treatment,SBP,DBP,CO,and CI in the two-chamber group were significantly higher than those in the single-chamber group(P<0.05);the level of NT-proBNP in the double-lumen group was significantly lower than that in the single-lumen group(P<0.05).Conclusion:The treatment of patients with chronic arrhythmia with double-chamber pacemaker can significantly improve the hemodynamic parameters,significantly reduce the level of NT-proBNP,and then significantly restore the patient’s cardiac function.