右室不同部位起搏对患者心功能及情绪状态的影响

《右室不同部位起搏对患者心功能及情绪状态的影响》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码^0089—学号或申请号20123233HebeiMedicalUniversity硕士学位论文专业学位右室不同部位起搏对患者心功能及情绪状态的影响研究生：于榛导师：刘刚教授郑明奇副教授专业：内科学二级学院：第一医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研宂所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原

2、始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。研宂生签名:後.导师签章：、、二级学院领导盖章：7^5年3月>/日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研宄成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研宂成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：导师签章：^2、卜AI？oiS年3月巧曰目录中文摘要·····················································

3、························1英文摘要·············································································4英文缩写·············································································8研究论文右室不同部位起搏对患者心功能及情绪状态的影响前言·················································

4、····························9材料与方法····································································9结果·············································································13附图·············································································15附

5、表·············································································18讨论·············································································20结论·············································································25参考文献····················

6、···················································25综述关于右室不同部位起搏····················································27致谢···················································································39个人简历························································

7、·····················40中文摘要右室不同部位起搏对患者心功能及情绪状态的影响摘要目的：自从心脏起搏技术应用于临床以来，挽救了一大批病态窦房结综合征及高度房室传导阻滞患者的生命，并成为缓慢性心律失常唯一有效的治疗方法。多年来，由于右室心尖部肌小梁排列密集、电极植入操作相对简单等特点，右室心尖部电极植入技术已被广泛应用于临床之中。随着起搏器植入适应症的不断完善及植入患者的不断增加，近年来研究发现，右室心尖部起搏会引起左右心室电激动传导差异，进而产生机械运动失同步，导致血流动力学障碍及心脏灌注受损，严重影响患者

8、的生活质量，增加了起搏器植入患者由于心衰、心律失常等疾病的住院率及死亡率。随着主动电极的出现，右心室间隔部位起搏应运而生，右室间隔部起搏时，心室最早激动点更靠近希氏束，起搏电极发放起搏脉冲，使电激动从室间隔向双心室和心尖部扩散，完成接近生理状态的激动传导，因而能够改善心室间电