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目的:观察射频消融术(RFCA)对持续性心房颤动(pAf)患者生活质量的影响。方法:接受RFCA治疗的成功病例50例,采用问卷调查方式,选用国际上流行的简短表格-36(SF-36)和自行设计的针对pAf介入治疗术后情况的随访。术前资料于手术前一晚采集,术后1个月及3个月以信访、门诊复查的方式发放问卷。同时比较了手术前后超声心动图测量的左室射血分数。结果:术后恢复窦性心律患者左室收缩功能较术前增加(P<0.01)。简短表格-36中各项计分除总体健康感觉外,手术前后均差异有统计学意义,术后1个月及术后3个月计分均较术前显著提高(P<0.01,精力及活力为P<0.05),但术后1个月与术后3个月之间差异无统计学意义。心律恢复是术后早期生活质量提高的主要原因。半数以上患者术后体力恢复较慢,大部分在随访期内恢复正常工作。结论:RFCA可改善客观的心脏功能指标,显著提高pAf患者的生活质量,从社会心理生物医学模式的标准看是pAf治疗的理想方法。
Objective: To observe the effect of radio frequency ablation (RFCA) on quality of life in patients with persistent atrial fibrillation (pAf). Methods: Fifty successful cases receiving RFCA were enrolled in this study. A questionnaire was used to select the internationally popular short form -36 (SF-36) and self-designed follow-up for postoperative pAf intervention. Preoperative data were collected on the night before surgery, and questionnaires were sent out in the form of letters and visits one month and three months after the operation. The left ventricular ejection fraction measured by echocardiography before and after surgery was also compared. Results: Left ventricular systolic function increased in patients with sinus rhythm after operation (P <0.01). The scores in short form -36 were significantly different from those before surgery (P <0.01, except for overall health feeling), with significant difference between before and after surgery, and scores at 1 month and 3 months after operation Vitality P <0.05), but there was no significant difference between one month after operation and three months after operation. Cardiac recovery is the main reason for the improvement of early postoperative quality of life. More than half of patients recovered slowly after surgery, most of them returned to normal work during the follow-up period. CONCLUSIONS: RFCA improves objective cardiac function and significantly improves quality of life in patients with pAf, an ideal treatment for pAf from the perspective of psychosocial biomedical models.