학술논문

急诊应用胺碘酮对冠状动脉粥样硬化性心脏病快速心律失常的疗效研究 / Study on the Effect of Emergency Application of Amiodarone on Coronary Atherosclerosis Like Heart Disease Tachyarrhythmia
Document Type
Academic Journal
Source
中国医学创新 / Medical Innovation of China. (19):45-47
Subject
冠状动脉粥样硬化性心脏病
快速心律失常
胺碘酮
急诊
Hardening of the coronary artery gruel kind nature heart disease
Rapid arrhythmia
Amiodarone
Emergency
Language
Chinese
ISSN
1674-4985
Abstract
目的:探讨急诊应用胺碘酮对冠状动脉粥样硬化性心脏病快速心律失常的临床疗效。方法:回顾性分析本院急诊科2010年12月-2014年12月收治的87例冠状动脉粥硬化样性心脏病快速心律失常患者的临床资料,按照急诊治疗方法分为对照组45例和观察组42例,分别给予索他洛尔和胺碘酮静脉推注治疗。观察两组患者的治疗总有效率和12导联心电图、心功能好转情况,并进行比较。结果:观察组的治疗总有效率显著高于对照组,比较差异有统计学意义(P<0.05)。观察组42例患者中有40例在治疗后12导联心电图出现好转,41例心功能出现好转,其12导联心电图和心功能好转率均显著高于对照组,比较差异有统计学意义(P<0.05)。结论:应用胺碘酮对冠状动脉粥样硬化性心脏病快速心律失常进行急诊救治可以获得良好的临床疗效。
Objective:To explore the effect of emergency application of amiodarone on coronary atherosclerosis like heart disease tachyarrhythmia.Method:A retrospective analysis was performed on the clinical data of 87 coronary atherosclerosis like heart disease patients with tachyarrhythmia,and were divided into control group (42 cases) and observation group (45 cases) according to the emergency treatment method,and were given sotalol and amiodarone intravenous injection treatment. The total efficiency of treatment and 12 lead ECG,heart function improved situation of the two groups were observed and compared.Result:The total effective rate of the observation group was significantly higher than that of the control group,the difference was statistically significant (P<0.05).In observation group of 42 patients in 40 cases appeared on 12 lead ECG after treatment improved,41cases of heart function improved,12 leads electrocardiogram and cardiac function improvement rate were significantly higher than those in the control group,the difference has statistical significance (P<0.05).Conclusion:Application of amiodarone for the emergency treatment of coronary atherosclerotic heart disease arrhythmia samples can obtain good clinical curative effect.