环肺静脉隔离和抗心律失常药物治疗房颤的对比研究.pdfVIP

论著 2011第七届海河之滨心脏病学会议论文汇编 环肺静脉隔离与抗心律失常药物 治疗房颤的对比研究 王会永李广平许纲陈欣叶岚徐延敏 天津医科大学第二医院心脏科(300211) 【摘要】目的：比较环肺静脉隔离和抗心律失常药物治疗心房颤动维持窦性心律的疗效。方法：选取402例房颤患 积复发率有无统计学意义。结果：消融组维持窦性心律者82例(57．3％)，总有效率为83．2％。药物组维持窦性心律者 检验，差异有统计学意义(P0．001)。多因素分析显示：环肺静脉隔离是影响房颤复发的保护因素(OR=0．395， 肺静脉隔离可显著减低房颤复发，使更多的患者维持窦性心律，优于抗心律失常药物治疗。 【关键词1 心房颤动环肺静脉隔离抗心律失常药物治疗复发随访 ofcircumferentialvein isolationand Comparison pulmonary Antiarrhythmicforatrialfibrillation drugtherapy Abstract determinetheclinical ofCircumferential Objective：to vein with efficacy pulmonary antiarrhythmJcdrug sinus in withatrial therapy(ADT)onrhythm(sR)maintenancepatients withatrial fibrillationweredividedtwo ADT clinic patients groups，CPVI group(n=143)andgroup(n=259)．By and letter,theafter werefollowed end wasAFrecurrence．The service，telephonepafientsdischarged up．The primarypoint survival was the and 82 inthe analysisperformedKaplan—Meieranalysislog-rank test．Results：Duringfollowing-uppatients CPVI maintainedsinus 63 intheADT werefreefromrecurrent group rhythm(SR),whilepatients group test AF．Bylog．rank and intheCPVI and Kaplan-Meier 24．3％ofthoseintheADT werenorecurrentAF analysis，57．3％ofpatientsgroup group multivariateshowedAF (P0．001)．The duration，leftatial were analYsis