2021 年第 7 期 第 16 卷

改善生活方式对心房颤动患者射频消融术后复发的影响

Influence of lifestyle improvement on recurrence of atrial fibrillation in patients after radiofrequency ablation

作者：晁鹏张雪琴

英文作者：Chao Peng Zhang Xueqin

单位：新疆维吾尔自治区人民医院心内科，乌鲁木齐830001

英文单位：Department of Cardiology People′s Hospital of Xinjiang Uygur Autonomous Region Urumqi 830001 China

关键词：心房颤动；射频消融；复发；生活方式

英文关键词：Atrialfibrillation;Radiofrequencyablation;Recurrence;Lifestyle 

• 摘要：

• 目的 探讨改善生活方式对心房颤动患者射频消融术后复发的影响。方法 选取2012年1月至2014年12月就诊于新疆维吾尔自治区人民医院的271例首次行射频消融术的心房颤动患者并进行随访，记录患者随访1年是否有心房颤动复发情况，并统计术后患者的血压、血糖、吸烟、饮酒、体重指数改善情况。运用Kaplan-Meier法和多因素Cox比例风险模型分析改善生活方式对心房颤动射频消融术后患者复发的影响。结果 术后随访1年，271例患者中79例（29.2%）心房颤动复发。术后1年改善吸烟患者占29.9%（81/271），改善饮酒患者占25.8%（70/271），改善血压患者占21.0%（57/271），改善体重指数患者占18.5%（50/271），改善血糖患者占9.6%（26/271）。Kaplan-Meier法和多因素Cox比例风险模型分析均显示，除吸烟外，改善收缩压、舒张压、血糖、饮酒、体重指数单个因素均可减少心房颤动术后复发（均P＜0.05），且心房颤动术后改善生活方式的项目数越多，其对术后复发的防护作用越强。结论 改善血压、血糖、饮酒、体重指数均可以减少心房颤动患者射频消融术后复发。

• Objective To investigate the influence of lifestyle improvement on recurrence of atrial fibrillation in patients after radiofrequency ablation. Methods From January 2012 to December 2014, 271 patients with atrial fibrillation who underwent radiofrequency ablation for the first time in People′s Hospital of Xinjiang Uygur Autonomous Region were selected and followed-up. The recurrence of atrial fibrillation was recorded during 1 year follow-up, and the improvements of blood pressure, blood glucose, smoking, drinking and body mass index after operation were counted. Kaplan-Meier method and multivariate Cox proportional hazard model were used to analyze the influence of lifestyle improvement on recurrence of atrial fibrillation in patients undergoing radiofrequency ablation. Results During 1 year of follow-up after operation, 79 of 271 patients (29.2%) had recurrence of atrial fibrillation, 29.9%(81/271) patients improved smoking, 25.8% (70/271) patients improved drinking, 21.0%(57/271) patients improved blood pressure, 18.5%(50/271) patients improved body mass index, and 9.6%(26/271) patients improved blood glucose. Kaplan-Meier method and multivariate Cox proportional hazard model analysis showed that except smoking, improving one of the systolic blood pressure, diastolic blood pressure, blood glucose, drinking and body mass index could reduce postoperative recurrence of atrial fibrillation (all P＜0.05), and the more items of lifestyle after atrial fibrillation surgery improved, the stronger the protective effect on postoperative recurrence was. Conclusion Improving blood pressure, blood glucose, drinking and body mass index can reduce the recurrence of atrial fibrillation after radiofrequency ablation.