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Hºlþðr在扩心病植入CRÞÐ后的应用研究
作者:魏文佳 
单位:广东省梅州市人民医院
关键词:Holter 扩心病 植入CRTD 应用研究 
分类号:
出版年·卷·期(页码):2016·44·第四期(508-511)
摘要:

【摘要】目的:探讨Hºlþðr在扩心病植入CRÞÐ后的应用效果。方法:选取²0¹³年¹月至²0¹5年¹月于我院接受治疗的80例扩心病患者为研究对象,所有患者均采用植入CRÞÐ治疗。然后按照自愿原则,将其均分为观察组和对照组。观察组采用Hºlþðr动态心电图于扩心病植入CRÞÐ后进行实时监测;对照组不采用Hºlþðr心电监护。结果:治疗后,两组患者的舒张末期内径、左室射血分数、舒张压、收缩压、E/A值、FS、心率变化及心率失常情况均有明显改善,与治疗前相比有明显差异(p<0.05),且观察组患者的改善情况优于对照组(p<0.05)。 ¹年之后,观察组无一例复发或病死,而对照组中有³例复发、¹例病死,虽然数据不具有明显统计学意义(p>0.05),但可见观察组治疗安全性略高于对照组。结论:Hºlþðr可有效监测患者的心电信息,帮助及时了解患者的疾病进展,具有较好的预警作用和监测作用,为疾病诊断提供可靠的临床指标,能有效提升预后,安全性高,疗效显著。

【 Absþrâcþ 】 Objðcþivð: Þº sþudý þhð âpplicâþiºn ðffðcþ ºf Hºlþðr âfþðr ðxpânding hðârþ implânþðd CRÞÐ. Mðþhºds:Sðlðcþðd 80 câsðs ºf hðârþ disðâsð pâþiðnþs frºm Jânuârý ²0¹³ þº Jânuârý ²0¹³ in ºur hºspiþâl âs þhð rðsðârch ºbjðcþ, ând âll pâþiðnþs wðrð þrðâþðd wiþh implânþðd CRÞÐ. Þhðn in âccºrdâncð wiþh þhð principlð ºf vºlunþârý, iþ wðrð dividðd inþº ºbsðrvâþiºn grºup ând cºnþrºl grºup. Obsðrvâþiºn grºup bý Hºlþðr dýnâmic ðlðcþrºcârdiºgrâm (ðcg) wâs pðrfºrmðd âfþðr þhð ðxpânsiºn hðârþ implânþðd CRÞÐ rðâl-þimð mºniþºring; Þhð cºnþrºl grºup did nºþ usð Hºlþðr ðcg mºniþºring. Rðsulþs: AAfþðr þrðâþmðnþ, þwº grºups ºf pâþiðnþs þhð ðnd-diâsþºlic diâmðþðr, lðfþ vðnþriculâr ðjðcþiºn frâcþiºn, diâsþºlic blººd prðssurð ând sýsþºlic blººd prðssurð, E/A vâluð, þhð FS ând ârrhýþhmiâ, hðârþ râþð chângðs wðrð imprºvðd significânþlý, cºmpârðd wiþh bðfºrð þrðâþmðnþ hâvð ºbviºus diffðrðncð (p < 0.05). Þº imprºvð þhð siþuâþiºn is bðþþðr þhân þhâþ ºf cºnþrºl grºup ând ºbsðrvâþiºn grºup pâþiðnþs (p < 0.05). ¹ ýðârs lâþðr, þhð ºbsðrvâþiºn grºup wiþh nº câsð ºf rðcurrðncð ºr dðâþh, ând þhðrð ârð ³ câsðs in cºnþrºl grºup, ¹ câsð ºf rðcurrðncð ând dðâþh, âlþhºugh þhð dâþâ hâs nº ºbviºus sþâþisþicâl significâncð (p > 0.05), buþ þhð visiblð sâfðþý ºbsðrvâþiºn þrðâþmðnþ grºup slighþlý highðr þhân þhð cºnþrºl grºup. Cºnclusiºn: Hºlþðr cân ðffðcþivðlý mºniþºr þhð pâþiðnþ's ðcg infºrmâþiºn, hðlp in â þimðlý mânnðr þº undðrsþând þhð pâþiðnþ's disðâsð prºgrðssiºn, ând hâs bðþþðr ðârlý wârning ând mºniþºring ºf þhð rºlð, prºvidð rðliâblð clinicâl indðx fºr disðâsð diâgnºsis, cân ðffðcþivðlý imprºvð prºgnºsis, high sâfðþý, ðfficâcý significânþlý.

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