【摘要】 目的比较生理性与非生理性心脏起搏（ＶＶＩ）的远期效果。方法通过对１９８５年至１９９８年１３年内临床应用的生理性起搏１６２例和非生理性起搏５３８例进行回顾性分析。结果生理性起搏组明显优于非生理性起搏组，其百分率分别为，心影缩小为１５．４％（２５／１６２）ｖｓ０．１８％（１／５３８）；心影扩大３．０％（５／１６２）ｖｓ２７．７％（１４９／５３８）；心功能改善７．４％（１２／１６２）ｖｓ０．４％（２／５３８）；心功能恶化１．２％（２／１６２）ｖｓ１６．３５％（８８／５３８）；房性心律失常减少１３．５％（２２／１６２）ｖｓ０．２％（１／５３８）；房性心律失常增加０．６％（１／１６２）ｖｓ７．６％（４１／５３８）；脑栓塞１．２％（２／１６２）ｖｓ３．３％（１８／５３８）；死亡率１．２％（２／１６２）ｖｓ７．６％（４１／５３８）；唯电极脱位则为７．４％（１２／１６２）ｖｓ２．２％（１２／５３８）（Ｐ＜０．０５）结论生理性起搏在消除症状、提高生活质量，改善心功能，防止室上性心律失常方面优于非生理性起搏。更多还原

【Abstract】 Objective Comparative investigation of physiologic and non physiologic pacing in 13 years foolowup period. Mothod Retrospectively analysed 162 patients(pts)of physiologic pacing with AAI (74 pts),AAIR(1pt),DDD(58pts),DVI(8pts),DDDR(6pts),VDD(4pts),VVIR(11pts),and 538 patients with nonphysiologic VVI pacing in the period of 19851998. Results Physiologic pacing is better than nonphysiologic pacing (P<0.05),the present rate are as following respectively:smaller of cardiac image 15.4% vs 0.18%,enlargement of cardiac image 3.0% vs 27.7%;improving of cardiac function 7.4% vs 0.4%;worse of cardiac function 1.2% vs 1635%,incidence decrease of atrial arrhythmias 13.5% vs 0.2% incidence increase of atrial arrhythmias 0.6% vs 7.6% cerebral embolism 1.2% vs 3.3%;mortality 1.2% vs 7.6%,but leads dislocation of physiologic pacing vs nonphysiologic pacing are 7.4% vs 2.2%,respectively. Conclusion Physiologic pacing are much better than nonphysiologic pacing in improving living quality and heart function as well as preventing atrial arrhythmias and cerebral embolism.更多还原