再同步化治疗对改善左室舒张末期内径疗效的分析

魏钟海, 李晓宏, 蓝荣芳, 徐伟

魏钟海, 李晓宏, 蓝荣芳, 徐伟. 再同步化治疗对改善左室舒张末期内径疗效的分析[J]. 实用临床医药杂志, 2013, (1): 13-16. DOI: 10.7619/jcmp.201301004
引用本文: 魏钟海, 李晓宏, 蓝荣芳, 徐伟. 再同步化治疗对改善左室舒张末期内径疗效的分析[J]. 实用临床医药杂志, 2013, (1): 13-16. DOI: 10.7619/jcmp.201301004
WEI Zhonghai, LI Xiaohong, LAN Rongfang, XU Wei. Analysis on improvement of left ventricular end diastolic diameter after cardiac resynchronization therapy[J]. Journal of Clinical Medicine in Practice, 2013, (1): 13-16. DOI: 10.7619/jcmp.201301004
Citation: WEI Zhonghai, LI Xiaohong, LAN Rongfang, XU Wei. Analysis on improvement of left ventricular end diastolic diameter after cardiac resynchronization therapy[J]. Journal of Clinical Medicine in Practice, 2013, (1): 13-16. DOI: 10.7619/jcmp.201301004

再同步化治疗对改善左室舒张末期内径疗效的分析

详细信息
  • 中图分类号: R541

Analysis on improvement of left ventricular end diastolic diameter after cardiac resynchronization therapy

  • 摘要: 目的 探讨对再同步化治疗(CRT)后左室舒张末期内径(LVEDd)改善有影响作用的因素.方法 选取在鼓楼医院成功植入CRT的43例患者,搜集其术前、术后6个月随访的资料,通过相关性分析、t检验、方差分析、多元回归分析,筛选出最能影响术后LVEDd改善程度的因素.结果 单因素分析显示,年龄、病程,基础心电图的QRS时限、是否患有高血压、糖尿病,性别,是否为缺血性心肌病,术前的LVEDd,术前心电图是否为左束支传导阻滞,左室电极的位置,二尖瓣返流程度均对LVEDd的改善程度无显著的影响.多元线性回归分析显示,术前LVEDd、性别、是否有糖尿病3个因素与LVEDd的改善程度线性相关,其回归系数分别为-0.17(P=0.026)、-0.23(P=0.052)和-0.18(P=0.084).结论 术前的LVEDd、性别、糖尿病史与术后LVEDd改善程度线性负相关,相关程度较弱,但具有一定的预测作用.
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出版历程
  • 发布日期:  2013-05-01

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