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目的:探讨急诊应用胺碘酮治疗快速型心律失常的方法与效果。方法:选取2015年1月至2016年12月贵州省赤水市人民医院急诊科收治68例快速型心律失常患者为研究对象,将所有患者平均分为两组,对照组采取常规(硝酸甘油、抗凝药物)治疗方法,予以心律平经脉给药与口服;观察组采取胺碘酮静脉给药治疗。观察、记录两组患者治疗前、后的血压、心率、心电图、疗效以及不良反应。结果:治疗后,观察组患者血压、心率、Q-T间期、P-R间期改善效果显著优于对照组,组间比较,差异具有统计学意义(P<0.05);观察组的总有效率88.24%,显著高于对照组的79.41%,组间比较,差异具有统计学意义(P<0.05);观察组、对照组不良反应总发生率为11.76%、14.71%,组间比较,差异无统计学意义(P>0.05)。结论:急诊应用胺碘酮治疗快速型心律失常效果显著、安全性高。
Objective: To investigate the methods and effects of emergency amiodarone in the treatment of tachyarrhythmia. Methods: From January 2015 to December 2016, 68 patients with tachyarrhythmia received emergency department of Chishui People’s Hospital of Guizhou Province. All patients were equally divided into two groups. The control group was given conventional nitroglycerin Coagulant) treatment, to be given meridian meridians and oral administration; observation group to take intravenous amiodarone treatment. Observe and record the blood pressure, heart rate, electrocardiogram, curative effect and adverse reactions of two groups before and after treatment. Results: After treatment, the improvement effect of blood pressure, heart rate, QT interval and PR interval in the observation group was significantly better than that in the control group. The difference was statistically significant (P <0.05). The total effective rate in the observation group was 88.24% , Significantly higher than 79.41% of the control group, the difference was statistically significant (P <0.05); the total incidence of adverse reactions in the observation group and the control group was 11.76%, 14.71%, no significant difference between the two groups Significance (P> 0.05). Conclusion: Amiodarone in the emergency treatment of tachyarrhythmia is effective and safe.