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目的 尝试探讨His束起搏的分型标准及原理.方法 总结2015年8月至2016年3月行永久性His束起搏病例的腔内标测电图、起搏程控及临床随访资料.结果 14例患者中,11例术中即刻成功,成功率为79％(11/14).11例患者术中测定过程中10例获得纯His束起搏加内膜夺获图形(其中4例也获得纯His束起搏图形),1例表现为His束旁起搏图形.术后随访1例为His束旁起搏,1例变为His束旁高位间隔起搏,其余9例为纯His束起搏加内膜夺获.术后随访获得理想的永久性His束起搏占82％(9/11).结论 永久性His束起搏安全、可行,可分为四型.“,”Objective To evaluate the classification standard and principle of his bundle pacing. Methods The intracardiac electrograms and the follow-up data of pacemaker program were analyzed in patients undergoing Hisbundle pacing(HBP)between August 2015and March 2016. Results HBP was achieved in 11cases with the acute success rate of 79％ (11/14).Of the 11cases during implanting procedure,One patient with parahisian pacing figure kept the same pacing characteristics during follow-up.Ten cases showed the characteristics of pure His-bundle pacing with local myocardial fibers captured(including pure HBP figures in 4cases)and 9cases kept the same characteristics, the remaining changed to pseudo parahasian pacing figure(high ventricular septum pacing)post pacemaker implantation.Permanent HBP was finally identified in 9patients(9/11,82％)during follow-up. Conclusion Permanent HBP is safe and feasible,and involved with four types.