Analysis of the effect of radiofrequency ablation on clinical efficacy and cardiac function indexes in the treatment of tachyarrhythmia
射频消融术治疗快速心律失常对临床疗效及心功能指标的影响分析

摘要

目的 研究快速心律失常采取射频消融术治疗后产生的实际作用。方法 选择医院2020.1～2021.12月150例快速心律失常患者为研究对象，将其均进行射频消融术治疗，分析治疗后总有效率和心功能指标变化。结果 治疗后患者心率、收缩压明显降低与治疗前，左室射血分数、舒张压明显增高治疗前，治疗后血清hs-CRP水平明显降低，治疗后患者在社会功能、心理功能、生理功能、躯体功能方面评分均较高，（P<0.05）为差异显著，有统计学意义。150例患者尽心射频消融治疗后136例获得一次成功，成功率为90.67%。随访3个月后仅有2例复发，复发率为1.33%。射频消融治疗后2例左侧旁路患者存在心包压塞，进行针对性治疗后，好转。结论 快速心律失常采取射频消融术治疗能够改善患者心功能水平，治疗效果较明显，所以值得推广采纳。

Abstract

Objective To study the practical effect of radiofrequency ablation for tachyarrhythmia.
Methods A total of 150 patients with tachyarrhythmias in the hospital from January 2020 to December 2021 were selected as the research objects, and all of them were treated with radiofrequency ablation, and the changes in the total effective rate and cardiac function indexes after treatment were analyzed.
Results After treatment, patients' heart rate and systolic blood pressure were significantly lower than before treatment, and left ventricular ejection fraction and diastolic blood pressure were significantly increased. Before treatment, serum hs-CRP level was significantly lower after treatment. , physical function scores were higher, (P<0.05) was significant difference, with statistical significance. One-time success was achieved in 136 cases of 150 patients after RFA, with a success rate of 90.67%. There were only 2 cases of recurrence after 3 months of follow-up, and the recurrence rate was 1.33%. After radiofrequency ablation, 2 patients with left bypass had pericardial tamponade, which improved after targeted treatment.
Conclusion   Radiofrequency ablation for tachyarrhythmias can improve the cardiac function of patients, and the therapeutic effect is obvious, so it is worth popularizing and adopting.