体表心电图p波参数对阵发性房颤患者导管消融术后复发的预测价值

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1、授予单位代码10089学号或申请号20153103中国图书分类号R541.7HebeiMedicalUniversity硕士学位论文专业学位体表心电图P波参数对阵发性房颤患者导管消融术后复发的预测价值研究生：田师鹏田泽君教授导师：谢瑞芹教授专业：内科学二级学院：河北医科大学第二医院2018年3月目录中文摘要······································································································

2、······1英文摘要············································································································2英文缩写············································································································4研究论文体表心电图P波参数对阵发性房颤患者导管

3、消融术后复发的预测价值前言············································································································5材料与方法································································································6结果······························

4、··············································································8附图··········································································································11附表·································································

5、·········································13讨论··········································································································20结论·····································································································

6、·····22参考文献··································································································22综述心房颤动导管消融术后相关复发因素的研究··························27致谢······························································································

7、····················39个人简历··········································································································40·中文摘要体表心电图P波参数对阵发性房颤患者导管消融术后复发的预测价值摘要目的：探讨体表心电图P波参数对阵发性房颤患者导管消融术后复发的预测价值。方法：首次行导管消融术的阵发性房颤患者59例。分别于术前和术后24小时内行12导联同步体表心电图，

8、测量各导联P波时限、振幅和离散度。比较未复发组与复发组之间上述各参数的差异，对差异存在显著性意义者，通过多元回归方程评估对房颤术后复发的预测价值。结果：复发8人（13.5%，复发组），未复发51人（86.5%，未复发组）。P波参数差异性分析结果显示，⑴P波时限：组内手术前后比较，术后该时限在未复发组II、III、V5导联较术前减小；两组间比较，其变化值在未复发组III导联较复发组小。⑵P波振幅：组内手术前后比较，