左心耳封堵术联合射频导管消融术对NVAF患者栓塞风险及生活质量的影响

打开文本图片集

Effects Left Atrial Appendage Closure Combined with Radirequency Catheter Ablation on EmbolismRisk and QualityLife inPatients withNVAF/WUYinghong，ZENG Zhaoping，LONGLi， LUOLinxuan，LIFeng，WEN Songhai.// ，2025，22（25）： 023-026

[Abstract] Objective：To analyze the effects left atrial appendage closure （LAAC） combined with radirequencycatheter ablation （RFCA）onembolism risk andquality life in patients with non-valvularatrial fibrillation （NVAF）.Method：A retrospective analysis was conducted on thedata 90 patients with NVAF admitedto QiandongnanPrefecturePeople's Hospitalfrom March 2O22 to March 2O24.They were divided intothe group A （given drug treatment）， group B （underwent LAAC）， and group C （underwent RFCA + LAAC） according to different treatment methods，with 30 cases ineach group.The embolism eventsand complications，quality life and readmission rate the three groups were observed and recorded.Result：The incidence embolism events in groupC was significantly lower than that in groupA（ P <0.05）.There was no statistically significant difference in the incidence complications among the three groups （ P >0.05）.Before treatment，there were no statistically significant differences in symptoms，dailyactivities，treatment concerns，satisfaction scores and total scores among the three groups （P>O.05）.After6 months treatment，the scores the above dimensions and the total scores in group C were significantlyhigher thanthose in groupAand group B，andthose ingroup Bweresignificantly higher than those in group A （ P <0.05）.The readmission rate in group C was significantly lower than that in group B and group A （ P <0.05）.

Conclusion：LAACcombined with RFCAcan more effectively reduce the risk embolism in patients with NVAF and improve their quality life.

[Keywords]Non-valvular atrial fibrilationLeft atrial appendage closure Radirequency catheter ablationCardiogenic embolismQuality life

First-author's address： Department Cardiovascular Medicine，Qiandongnan Prefecture People's Hospital，Kaili56000，ina doi： 10.3969/j.issn.1674-4985.2025.25.006

5倍， 90% 以上的血栓源自心脏左心耳结构[1-2]。（剩余5659字）