Perioperative nursing and complications treatment in patients undergoing catheter ablation of atrial fibrillation

ZHOU Bei; et al

doi:10.13406/j.cnki.cyxb.2010.01.006

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Perioperative nursing and complications treatment in patients undergoing catheter ablation of atrial fibrillation

更新时间：2024-01-17

- Perioperative nursing and complications treatment in patients undergoing catheter ablation of atrial fibrillation
- Journal of Chongqing Medical University Vol. 35, Issue 1, Pages: 143-145(2010)
- 作者机构：
  
  重庆医科大学附属第二医院心血管内科重庆市心律失常治疗中心
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.01.006
  CLC： R473.5
- Published：2010，
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[1]周蓓,苏立,凌智瑜,罗维.心房颤动导管消融的围手术期护理与并发症处理[J].重庆医科大学学报,2010,35(01):143-145.

ZHOU Bei, et al. Perioperative nursing and complications treatment in patients undergoing catheter ablation of atrial fibrillation. [J]. Journal of Chongqing Medical University 35(1):143-145(2010)
[1]周蓓,苏立,凌智瑜,罗维.心房颤动导管消融的围手术期护理与并发症处理[J].重庆医科大学学报,2010,35(01):143-145. DOI： 10.13406/j.cnki.cyxb.2010.01.006.

ZHOU Bei, et al. Perioperative nursing and complications treatment in patients undergoing catheter ablation of atrial fibrillation. [J]. Journal of Chongqing Medical University 35(1):143-145(2010) DOI： 10.13406/j.cnki.cyxb.2010.01.006.

摘要

目的:探讨在三维电解剖标测（Three-dimensional electroanatomical mapping

CARTO）系统指导下进行射频消融治疗心房颤动的护理方法及并发症的处理。方法:对81例反复发作的阵发性房颤和17例持续性房颤行射频消融术治疗的患者进行观察和护理。术前做好心理护理

术后密切观察患者生命体征

加强并发症的观察和护理。结果:87.65%（71/81）的阵发性房颤（随访时间16±5）和58.82%（10/17）的持续性房颤患者（随访时间13±5）维持窦性心律

二组间窦性心律的维持率有显著差异（P<0.05）。窦性心律下房颤消融的手术时间显著短于房颤节律下的消融时间（188±30与243±26min

P<0.01）。本组有2例患者出现心包填塞

1例胸壁血肿

1例中重度肺静脉狭窄

1例急性胃扩张

总的并发症发生率为5.1%

经护理和治疗后全部康复。结论:CARTO三维标测系统指导下行射频消融治疗房颤安全有效。规范化的护理是取得良好疗效的重要保障。

Abstract

Objective:To explore nursing methods and treatment of complications after catheter ablation guided by Carto mapping in patients with atrial fibrillation.Methods:Eighty-one cases of paroxysmal atrial fibrillation and seventeen cases of persistent atrial fibrillation were observed and nursed intensively after treatment.The mental nursing was conducted before the ablative procedure

and vital signs were obversed during and after the procedure

and the complications were observed and cared intensively.Results:Seventy-one patients(87.65%

71/81) with paroxysmal atrial fibrillation were under sinus rhythm during 16 months follow-up period

ten patients(58.82%

10/17) with persistent atrial fibrillation were also under sinus rhythm during 13 months follow-up period.The rate of atrial fibrillation-free survival between paroxysmal AF and persistent AF had significant difference(P<0.05).Procedural time in patients with sinus rhythm during the ablation was significantly shorter than that in patients with AF rhythm(188±30 vs 243±26 min

P<0.01).Two patients suffered from cardiac tamponade

one patient from subclavical haematoma

one from serious stenosis of pulmonary vein

and one from acute dilatation of stomack.The total incidence rate of complications was 5.1%.All patients with complications were recovered under intensive nursing and treatment.Conclusion:The catheter ablation guided by Carto mapping in patients with paroxysmal and persistent AF is effective and safe and intensive and normalized care is great guarantee for optimal efficiacy.

关键词

心房颤动导管消融护理

Keywords

atrial fibrillationCatheter ablationnursing

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