射频消融术与心律平治疗室性早搏的临床疗效比较

摘要

Objectives To compare the clinical effect of radiofrequency ablation (RF) and propofol in the treatment of ventricular premature beats. Methods From May 28, 2016 to March 25, 2018, 120 patients with ventricular premature beats were randomly divided into two groups: control group (n = 60) and observation group (n = 60). The therapeutic effects of the two groups were analyzed. Results The total effective rate in the observation group was 100.00％ higher than that in the control group (73.33％, P < 0.05). The incidence of adverse reactions in the observation group was 0.00％ low. There was a significant difference between the control group and the control group (P < 0.05). In the observation group, there were 0 times of double law and 0 times of triple law, which were better than that of control group (211.27 ±61.27 times, 31.58 ±9.28 times, P < 0 05). The total frequency of ventricular premature in the observation group (168.15 ±56.78) was significantly higher than that in the control group (7863.45 ±1931.87) (P < 0. 05). Conclusions Radiofrequency ablation was safer and more effective than heart rhythm in the treatment of ventricular premature beats. For patients without surgical contraindications, especially those with ineffective medication and frequent premature ejaculation, radiofrequency ablation might be considered.%目的 对射频消融术与心律平治疗室性早搏的临床疗效进行比较.方法 选取2016年5月28日-2018年3月25日期间收治的120例治疗室性早搏患者,随机分为对照组(n=60)与观察组(n=60),对照组口服西药心律平治疗,观察组射频消融术治疗,对两组治疗效果进行分析.结果 观察组治疗总有效率100％,高于对照组73.33％,差异显著(P<0.05).观察组不良反应发生率0％低于对照组26.67％,差异显著(P<0.05).观察组二联律0次、三联律次数0次均优于对照组二联律(211.27±61.27)次、三联律次数(31.58±9.28)次,差异显著(P<0.05).观察组室早总次数(168.15±56.78)次优于对照组(7863.45±1931.87)次,差异有统计学意义(P<0.05).结论 射频消融术相比于心律平治疗室性早搏更为安全有效,对于无手术禁忌证者,尤其药物治疗无效、室早发作频繁者可考虑行射频消融术治疗.