股静脉漂浮电极导管临时心脏起搏器植入在缓慢型心律失常合并高度房室传导阻滞患者中的应用效果.docVIP

股静脉漂浮电极导管临时心脏起搏器植入在缓慢型心律失常合并高度房室传导阻滞患者中的应用效果 　　[摘要]目的 探讨股静脉漂浮电极导管临时心脏起搏器植入的临床应用价值。方法 选取2013年1月～2016年1月本院收治的68例缓慢型心律失常合并高度房室传导阻滞患者作为研究对象，根据不同手术方式将其分为试验组与对照组，各34例。试验组采用股静脉漂浮电极导管临时心脏起搏器植入术，对照组采用X线透视下普通电极导管临时心脏起搏器植入术，比较两组的手术一次性成功率、起搏器安装时间、起搏时间、起搏阈值、术后感知不良发生率、并发症发生率、心脏指数（CI）、射血分数（EF）等指标。结果 对照组有1例由于血管迂曲在X线引导下再次手术后成功起搏。两组的手术一次性成功率、起搏器安装时间比较，差异无统计学意义（P0.05）。试验组的术后感知不良发生率显著低于对照组，差异有统计学意义（P0.05）。试验组的起搏时间与起搏阈值显著低于对照组，差异有统计学意义（P0.05）。两组治疗后的CI、EF值显著高于治疗前，差异有统计学意义（P0.05）。试验组治疗后的CI、EF值显著高于对照组治疗后，差异有统计学意义（P0.05）。两组均无血栓形成、心脏穿孔、静脉炎、气胸、感染等并发症发生。结论 股静脉漂浮电极导管临时心脏起搏器植入在缓慢型心律失常合并高度房室传导阻滞患者中的应用效果显著，值得临床推广应用。 　　[关键词]股静脉；漂浮电极导管；临时心脏起搏器植入术 　　[中图分类号] R541.7 [文献标识码] A [文章编号] 1674-4721（2016）08（a）-0018-04 　　[Abstract]Objective To explore the clinical application value of temporary cardiac pacemaker implantation with floating electrode catheter in femoral vein.Methods 68 cases of slow arrhythmia with high degree atrioventricular block from January 2013 to January 2016 in our hospital were selected and divided into the experimental group and the control group according to different surgery，34 cases in each group.The experimental group was given temporary cardiac pacemaker implantation with floating electrode catheter，and the control group was used temporary cardiac pacemaker implantation with normal electrode catheter under X-ray.The index of one-time success rate，pacemaker installation time，pacemaking time，pacemaking threshold，incidence rate of postoperative poor perception，incidence rate of complication，cardiac index （CI） and ejection fraction （EF） in the two groups was compared.Results There was 1 case with success pacing under the guidance of X-ray once again after the operation due to vessel tortuosity.There was no significant difference in the one-time success rate and pacemaker installation time between the two groups （P0.05）.The incidence rate of postoperative poor perception in the experimental group was lower than that in the control group，with significant difference （P 　　[Key wo