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我们于1991年～1993年用利多卡因,心律平及门冬氨酸钾镁对60例室性早搏患者随机分组治疗,结果报告如下.1 临床资料1.1 一般资料:本组60例均经临床和心电图确诊,男41例,女19例,年龄24～74岁.冠心病21例,风心病7例.高心病11例,心肌(炎)病13例,洋地黄中毒1例,其它7例.根据LOWN分类法:室性早搏2～3级41例,4级17例.(其中有6例呈二联律伴短阵室速),5级2例.病程2周～15年.1.2 治疗方法 60例患者入院时随机分成三组,利多卡因组:利多卡因200～400mg加5%～10%葡萄糖200～400ml静滴,1～2mg/min.2～3周为一疗程.心律平组:心律平300～600mg分3次口服,2～3周为一疗程.门冬氨酸钾镁组:门冬氨酸钾镁20～30ml加10%葡萄糖250ml静滴,2～3周为一疗程.2 治疗结果2.1 疗效评定 以心悸、胸闷、头晕、乏力在用药1周内消失且(或)心电图室早消失为显效,用药后1～3
We in 1991 to 1993 with lidocaine, heart rate and potassium aspartate potassium in 60 patients with premature ventricular contractions were randomized into groups, the results are reported as follows.1 Clinical data 1.1 General information: The group of 60 patients were clinically And electrocardiogram diagnosed, 41 males and 19 females, aged 24 to 74. Coronary heart disease in 21 cases, 7 cases of rheumatic heart disease.High heart disease in 11 cases, myocardial inflammation in 13 cases, digitalis poisoning in 1 case, the other 7 cases According to the classification of LOWN: premature ventricular contractions 2 to 3 in 41 cases, 4 in 17 cases (including 6 cases of diplopia with associated ventricular tachycardia), 2 cases in grade 2. Course of 2 weeks to 15 years.1.2 Treatment of 60 patients admitted to hospital were randomly divided into three groups, lidocaine group: lidocaine 200 ~ 400mg plus 5% ~ 10% glucose 200 ~ 400ml intravenous infusion, 1 ~ 2mg / min for 2 to 3 weeks for a course of treatment. Rhythm level group: 300 ~ 600mg of rhythm level was orally administered 3 times a course of 2 to 3 weeks.Aspartate potassium and magnesium group: magnesium aspartate 20 ~ 30ml plus 10% glucose 250ml intravenous infusion, 2 ~ 3 Weeks for a course of treatment .2 treatment results 2.1 evaluation of the efficacy of palpitations, chest tightness, dizziness, fatigue disappeared within 1 weeks of medication and (or) early disappearance of the ECG room markedly effective after treatment 1 to 3