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食管心房调搏在非心脏手术的老年患者应用临时起搏器的价值 被引量:2

The clinic significance of transesophageal atrial pacing in screening the applications of temporary pacemaker in aged surgical patients with non-cardiac surgery
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摘要 目的探讨食管心房调搏在筛选窦性心动过缓的老年患者行非心脏手术围术期间应用临时起搏器的价值。方法入选2010年7月至2013年12月在信阳市中心医院行非心脏手术的老年患者179例(年龄≥60岁),所有患者术前心电图提示窦性心动过缓,进一步随机采用阿托品试验阳性或食管心房调搏阳性筛查需要临时起搏器植入,其中,阿托品试验阳性组(阿托品组)93例及食管心房调搏阳性组(食管心房调搏组)86例,根据临时起搏器在术中、术后是否起搏,在阿托品组与食管心房调搏组内将患者分为起搏组与备用组。结果所有入选者临时起搏器植入均成功,围术期无感染、心脏穿孔等并发症发生。食管心房调搏组患者围术期起搏器完全或部分起搏的比率为84.9%(73/86),显著高于阿托品组患者围术期起搏器完全或部分起搏的比率69.9%(65/93)(P〈0.05),且食管心房调搏组患者围术期起搏器未起搏的比例15.1%(13/86)显著低于阿托品组患者围术期起搏器未起搏的比例30.1%(28/93)(P〈0.05)。结论食管心房调搏在预测合并窦性心动过缓的老年患者行非心脏手术时应用临时起搏器的特异性和敏感性均显著高于阿托品试验。 Objective To investigate the clinical significance of transesophageal atrial pacing in screening the applications of temporary pacemaker in aged surgical patients with non-cardiac surgery. Methods From July 2010 to December 2013, some aged patients with sinus bradycardia who would been operated in surgery of our hospital were enrolled and all or transesophageal atrial pacing, with 93 patients positive in conducted the examination of atropine test atropine test (atropine group) and 86 pa- tients positive in transesophageal atrial pacing (transesophageal atrial pacing group) , and according to respectively. The pacemaker were completely or partly pacing in the pacing group while the pacemaker were not at all pacing in the standby group during the period of temporary pacemaker implant. Results All the operations of implantations of temporary pacemaker were successful and no complications hap- (P 〈 0. 05 ) ; What' s more, the percentage of no pacing of temporary pacemaker was lower in transesoph- ageal atrial pacing group than that in atropine group (P 〈 0. 05 ). Conclusions rial pacing in screening of applications of temporary pacemaker in old surgical surgery is superior to atropine test.
作者 杨俊 宋亚辉 袁俊强 陈昭喆 徐谭 杨贵宝 黄振文 YANG Jun, SONG Ya-hui, YUAN Jun-qiang, CHEN Zhao-zhe, XU Tan, YANG Gui-bao, HUANG Zhen-wen. (Department of Cardiology, Center Hospital of Xinyang, Xinyang 464000, China)
出处 《中国实用医刊》 2015年第12期67-69,共3页 Chinese Journal of Practical Medicine
关键词 临时起搏器 食管心房调搏 阿托品实验 非心脏手术 Temporary pacemaker Transesophageal The transesophageal at- patients with non-cardiac atrial pacing Atropine test Noncardiac surgery
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