ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (3): 239-241.doi: 10.3969/j.issn.1674-3865.2018.03.017

• 临床研究 • 上一篇    下一篇

儿童阵发性室上性心动过速临床特点及治疗分析

向金星   

  1. 410007 长沙,湖南省儿童医院心血管内科
  • 出版日期:2018-06-25 发布日期:2018-11-19
  • 作者简介:向金星(1980-),男,主治医师。研究方向:小儿心血管病的诊治,E-mail:35524510@qq.com

Clinical characteristics and treatment analysis of paroxysmal supraventricular tachycardia in children

XIANG Jinxing   

  1.  Hunan Children's Hospital,Changsha 410007,China
  • Online:2018-06-25 Published:2018-11-19

摘要:
目的
观察阵发性室上性心动过速患儿的临床特点及治疗效果。
方法
选择2015年5月至2017年4月湖南省儿童医院心血管内科收治住院的阵发性室上性心动过速患儿100例作为研究对象,按治疗方法不同分为4组,其中物理治疗组32例,药物治疗组40例,药物治疗+电复律组12例,药物治疗+射频消融组16例。物理治疗组采用刺激迷走神经复律。药物治疗组采用普罗帕酮、胺碘酮、地高辛治疗。药物治疗+电复律组在药物治疗后,进行电复律治疗。药物治疗+射频消融组在药物治疗后采用射频消融治疗。观察4组患儿复律时间与成功率以及不同药物治疗效果。
结果
物理治疗组复律时间>药物治疗组>药物治疗+电复律组>药物治疗+射频消融组,4组比较差异有统计学意义(P<0.05)/物理治疗组复律成功率<药物治疗组<药物治疗+电复律组<药物治疗+射频消融组,差异均有统计学意义(P<0.05);普罗帕酮转复率<地高辛<胺碘酮,差异有统计学意义(P<0.05)。
结论
儿童阵发性室上性心动过速特征明显且治疗方案多样,临床可优先考虑采取药物+射频消融的治疗策略,其次为药物+电复律,单纯药物治疗及物理治疗效果并非十分理想。

关键词: 心动过速, 阵发性, 室上性, 儿童

Abstract:
Objective
To observe the clinical characteristics and treatment effects of paroxysmal supraventricular tachycardia in children.
Methods
A total of 100 children with paroxysmal supraventricular tachycardia were chosen as the research subjects, who were treated in Hunan Children's Hospital from May 2015 to April 2017. The children were divided into 4 groups according to different treatment:32 in physiotherapy group(A), 40 in drug therapy group(B), 12 in drug therapy+electroversion group(C), and 16 in drug therapy+radiofrequency ablation group(D).Group A was managed by stimulating nervi vagus to normalize the heart rate. Group B was treated with propafenone, amiodarone and digoxin. Group C was treated with electroversion in addition to the drug therapy, and group D was managed by radiofrequency ablation besides drug therapy. Observe the conversion time of heart rate and the success rate, and the treatment results of different therapies.
Results
The conversion time of heart rate was the longest in group A, followed by group B, group C and group D in turn; there was statistical difference among the four groups(P<0.05). The success rate was the highest in group D, followed by group C, group B and group A in turn, and the difference was statistically significant(P<0.05). The conversion rate by propafenone was the lowest, and amiodarone the highest(P<0.05).
Conclusion
The characteristics of paroxysmal supraventricular tachycardia are significant in children, and there are various treatments. Clinically, the treatment of drug+radiofrequency ablation is preferred, followed by drug+electroversion. The result of pure drug therapy or physiotherapy is not satisfactory.

Key words: Tachycardia, Paroxysmal, Supraventricular, Child