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重庆医科大学附属第一医院心内科
纸质出版日期:2010,
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[1]张巧英,张晓刚,李韫,何泉,郑文武,郑丽娜.小脑顶核电刺激治疗心律失常的临床研究[J].重庆医科大学学报,2010,35(06):905-907.
ZHANG Qiao-ying, et al. Clinic study on treatment of cardiac arrhythmia by fastigial nucleus stimulation[J]. Journal of Chongqing Medical University, 2010,35(6):905-907.
[1]张巧英,张晓刚,李韫,何泉,郑文武,郑丽娜.小脑顶核电刺激治疗心律失常的临床研究[J].重庆医科大学学报,2010,35(06):905-907. DOI: 10.13406/j.cnki.cyxb.2010.06.018.
ZHANG Qiao-ying, et al. Clinic study on treatment of cardiac arrhythmia by fastigial nucleus stimulation[J]. Journal of Chongqing Medical University, 2010,35(6):905-907. DOI: 10.13406/j.cnki.cyxb.2010.06.018.
目的:探讨小脑顶核电刺激(Fastigial nucleus stimulation
FNS)治疗非恶性心律失常(Nonmalignant cardiac arrhythmia)的疗效及安全性。方法:随机选择一段时期
对反复心悸为主诉就诊的病人
进行24h动态心电图检查有心律失常(室上性早搏、短阵室上性心动过速、室性早搏)
且曾给予一种或几种抗心律失常药物治疗病情无好转者45例
用小脑顶核电刺激治疗
每次治疗40min
每周2次
每位患者治疗15次左右。观察24h动态心电图等变化。结果:FNS治疗前后室上性早搏数分别为(3358.5±5044.0)次/24h和(1142.8±2722.3)次/24h
室性早搏数为(10469.7±9464.9)次/24h和(4379.4±8143.3)次/24h
标准化的低频(Normalized low frequency
LFnorm)为(35.28±7.04)nU和(31.82±7.35)nU
标准化的高频(Normalized high frequency
HFnorm)为(24.32±4.18)nU和(26.84±4.66)nU
LF/HF为1.47±0.32和1.21±0.29
以上差异均有统计学意义(P<0.05);FNS治疗室上性早搏和室性早搏的有效率分别为64.44%和63.89%;治疗后短阵室上性心动过速评分较治疗前明显降低
差异具有统计学意义(P<0.05);未发现不良反应。结论:FNS治疗对心律失常患者心脏自主神经功能失调有改善作用;FNS治疗可明显减少室上性早搏、室性早搏的发生;FNS是一种安全、有效、价廉和易于操作的治疗手段
值得进一步的研究和推广。
Objective:To study the curative effect and reliability of fastigial nucleus stimulation (FNS)in treating nonmalignant arrhythmia. Methods:In a random period
FNS was used to treat 45 patients
who consulted doctors for repetitive palpitation
had cardiac arrhythmia (supraventricular premature beats
supraventricular runs
ventricular premature beats)confirmed by 24 h Holter monitoring electrocardiogram
and whose state of illness did not improve after being treated by one or several antiarrhythmic drugs. After those patients were treated by FNS 40 minutes a time
two times a week
for 15 times
the changes of 24 h Holter monitoring electrocardiogram were observed. Results:Before and after treatment by FNS
the numbers of SVPB were (3 358.5±5 044.0)/24 h and (1 142.8±2 722.3)/24 h respectively;those ofVPBwere(10 469.7±9 464.9)/24 h and(4 379.4±8 143.3)/24 h respectively;normalized low frequencies(LFnorm)were(35.28±7.04)nU and(31.82±7.35)nU respectively;normalized high frequencies(HFnorm)were (24.32±4.18)nU and (26.84±4.66)nU respectively. LF/HF was 1.47±0.32 and 1.21±0.29 respectively. The differences between pre-treatment and post-treatment indices were all statistically significant (P<0.05). Effective rates of SVPB and VPB by FNS were 64.44% and 63.89% respectively. Supraventricular runs paroxysm markedly decreased after treatment (P<0.05). FNS did not cause adverse reaction. Conclusion:FNS can significantly decrease SVPB and VPB. FNS can improve cardiac autonomic nervous dysfunction in the patients with cardiac arrhythmia. FNS is a therapeutic tool which is safe
effective
easy to be operated and affordable
and it is worth researching and spreading further.
小脑顶核电刺激心律失常自主神经系统
FNSCardiac arrhythmiaautonomic nervous system
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