摘要
目的分析胺碘酮应用在急诊冠心病快速心律失常患者治疗中的疗效。方法选择我院急诊科收治的200例冠心病快速心律失常患者作为观察对象,随机分成两组后给予常规组100例患者实施常规利多卡因治疗,给予治疗组100例患者实施胺碘酮治疗,对比两组冠心病快速心律失常患者的治疗效果差异。结果治疗组患者治疗后的治疗优良率、左室舒张末期容积、左室收缩末期内径、左室射血分数、Q-T间期、P-R间期及症状缓解时间优于常规组患者(P<0.05),有统计学意义。结论针对冠心病快速心律失常患者实施急诊胺碘酮治疗的疗效十分显著,安全性高,利于患者心功能指标的改善。
Objective To analyze the efficacy of amiodarone in the treatment of patients with tachyarrhythmia in emergency coronary heart disease. Methods Two hundred patients with tachyarrhythmia of coronary heart disease admitted to the emergency department of our hospital were selected as observation objects. They were randomly divided into two groups. After that, 100 patients in the conventional group were given conventional lidocaine treatment, and 100 patients in the treatment group were given amiodarone treatment. The therapeutic effects of the two groups were compared. Results The treatment rate, left ventricular end-diastolic volume,left ventricular end-systolic diameter, left ventricular ejection fraction, QT interval, PR interval, and symptom relief time were better in the treatment group than in the conventional group(P<0.05).), statistically significant. Conclusion The efficacy of emergency amiodarone therapy for patients with tachyarrhythmia of coronary heart disease is very significant, and it is safe and beneficial to the improvement of heart function indicators.
引文
[1]虞惠群,高海芳.浅析急诊冠心病快速心律失常患者用胺碘酮治疗的临床疗效[J].中国医药指南,2016,14(7):149.
[2]刘琼琼.急诊冠心病快速心律失常患者应用胺碘酮治疗的临床效果分析[J].心理医生,2015,21(18):64-65.
[3]古兰拜尔·白克里.急诊应用胺碘酮对冠心病快速心律失常的疗效评价[J].世界最新医学信息文摘,2015,15(22):115-116.
[4]Salem JE,El-Aissaoui M,Alazard M,et al.Modeling of Amiodarone Effect on Heart Rate Control in Critically Ill Patients with Atrial Tachyarrhythmias[J].Clinical Pharmacokinetics,2016,55(8):991-1002.
[5]王京玲.急诊应用胺碘酮治疗冠心病快速心律失常的疗效分析[J].海峡药学,2016,28(8):179-181.
[6]段琼.胺碘酮在急诊冠心病快速心律失常中的有效性探讨[J].中国医学创新,2016,13(7):126-128.
[7]朱秀娟.急诊应用胺碘酮治疗冠心病快速心律失常的临床疗效[J].临床医药文献电子杂志,2017,4(55):134.
[8]郑彦林.急诊应用胺碘酮在治疗冠心病快速心律失常中的临床疗效[J].中国社区医师,2017,33(33):87-88.
[9]梅涛.急诊应用胺碘酮治疗冠心病快速心律失常的疗效评价[J].中西医结合心血管病电子杂志,2017,5(22):43.
[10]Kiuchi S,Aikawa H,Hisatake S,et al.Efficacy of Intravenous Administration of Landiolol in Patients With Acute Heart Failure and Supraventricular Tachyarrhythmia[J].J Clin Med Res,2017,9(5):426-432.
[11]杨艳红,李守贤,李军.浅析胺碘酮在冠心病合并快速心律失常急诊治疗中的临床疗效[J].中西医结合心血管病电子杂志,2016,4(28):79.
[12]李芝明.急诊应用胺碘酮治疗冠心病快速心律失常100例[J].中国实用医药,2016,11(4):181-182.
[13]吐尔洪·买买提木沙.研究胺碘酮在冠心病快速型心律失常急诊治疗中的临床应用价值[J].世界最新医学信息文摘,2018,18(36):124,126.
[14]郭伟,赵阳宇,龚跃波,等.急诊冠心病快速心律失常患者应用胺碘酮治疗的临床效果[J].中国现代药物应用,2017,11(15):137-138.
[15]王瑞芝,邢慧敏.急诊应用胺碘酮对冠心病快速心律失常的疗效评价[J].中国继续医学教育,2016,8(10):152-153.
[16]杨景虎,张巨中.观察胺碘酮治疗急诊冠心病快速心律失常的疗效[J].中国保健营养,2016,26(25):147-148.
[17]冯永清.胺碘酮急诊治疗冠心病快速性心律失常的临床价值[J].临床医药文献电子杂志,2017,4(3):426.
[18]曾马徐.胺碘酮在急诊治疗快速型心律失常中的临床疗效及安全性探究[J].中国实用医药,2018,13(6):105-106.