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目的:探讨老年人群起搏器植入术后起搏参数、起搏器故障及功能设置情况。方法:收集行永久心脏起搏器植入术的156例老年高龄患者的资料,对起搏参数和起搏器故障进行分组比较,讨论起搏器常用的功能设置。结果:80岁以上老年组出院前及随访中心室感知均低于80岁以下老年组,出院前心室阻抗高于80岁以下老年组,80岁以上组心房及心室阈值增高更明显,心房感知降低更多;设定A-V间期优化、频率应答、自动阈值夺获及静息频率是常用的起搏优化处理功能,需给予个体化的设置。结论:只要术中操作规范,严格掌握起搏参数,术后坚持随访,定期程控,优化设置,老年起搏治疗能够最大限度地发挥功效,提高患者的生存质量,改善其预后。
Objective: To investigate the pacemaker parameters, pacemaker failure and function setting in elderly patients after implantation. METHODS: Data were collected from 156 elderly patients who underwent permanent pacemaker implantation. Pacemaker parameters and pacemaker failures were compared in groups to discuss commonly used functional settings for pacemakers. Results: Before hospital discharge and in the follow-up central ventricle, the senile patients aged less than 80 years old were lower than the senile senile group under 80 years old. The ventricular impedance before discharge was higher than that of the senile group under 80 years old. The atrial and ventricular threshold increased more obviously and the atrial perception decreased More; Set AV interval optimization, frequency response, automatic threshold capture and resting frequency is a commonly used pacing optimization processing function, to be given personalized settings. Conclusion: As long as intraoperative practices, strict control of pacing parameters, adherence to follow-up after surgery, regular program-controlled and optimal settings, senile pacing therapy can maximize efficacy, improve patients’ quality of life, and improve prognosis.