经皮室间隔隧道化学消融术治疗肥厚梗阻型心肌病患者短期生存质量及影响因素的研究

摘要

目的：观察经皮室间隔隧道化学消融术治疗肥厚梗阻型心肌病患者短期的生存质量及影响因素。方法：采用SF-36健康状况量表对28例行室间隔隧道化学消融术治疗的肥厚梗阻型心肌病患者，进行术前及术后3个月生存质量评价。结果：经皮室间隔隧道化学消融术治疗后3个月的生存质量在各个维度较术前均明显改善，差异有显著性（P＜0．01）。多元线性回归分析表明对生存质量有影响的因素有性格、合并其他疾病、6 min步行试验。结论：经皮室间隔隧道化学消融术治疗能改善肥厚梗阻型心肌病的短期生存质量，术后及时心理疏导和康复指导能切实地提高术后的生存质量。%Objective To observe the short-term quality of life in patients with obstructive hypertrophic cardiomyopathy (OHCM) after percutaneous transluminal septal tunnel myocardial ablation (PTSTMA). Methods The quality of life in patients with OHCM were assessed by the SF-36 before and three months after PTSTMA. Results Three months after the procedure , quality of life was markedly improved at different variances in patients with OHCM as compared with the baseline. The linear regression analysis showed the factors influencing quality of life were character, coexistence with other diseases, and 6-minute walk test. Conclusions Percutaneous transluminal septal tunnel myocardial ablation can improve the short-term quality of life in patients with OHCM. Postoperative psychological counseling and rehabilitation guidance can practically enhance quality of life.