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目的分析急性心肌梗死并室性心律失常采用利多卡因与胺碘酮的治疗效果。方法 96例急性心肌梗死并室性心律失常患者,随机分成对照组和观察组,各48例。观察组患者采用胺碘酮治疗,对照组患者采用利多卡因治疗,比较两组治疗效果。结果观察组患者总有效率为95.83%,显著高于对照组的83.33%,差异具有统计学意义(P<0.05)。治疗后,观察组患者室性期前收缩次数为(217.63±59.48)次,对照组为(381.62±64.38)次,比较差异具有统计学意义(P<0.05)。结论治疗急性心肌梗死并室性心律失常患者应当采用胺碘酮,其具有较好的临床效果,安全性高,可以推广使用。
Objective To analyze the therapeutic effect of lidocaine and amiodarone in patients with acute myocardial infarction and ventricular arrhythmia. Methods 96 cases of acute myocardial infarction with ventricular arrhythmia were randomly divided into control group and observation group, 48 cases in each. Patients in the observation group were treated with amiodarone, while those in the control group were treated with lidocaine. The therapeutic effect was compared between the two groups. Results The total effective rate of the observation group was 95.83%, which was significantly higher than that of the control group (83.33%), the difference was statistically significant (P <0.05). After treatment, the number of ventricular contractions in the observation group was (217.63 ± 59.48) times and in the control group (381.62 ± 64.38) times, the difference was statistically significant (P <0.05). Conclusion Amiodarone should be used in patients with acute myocardial infarction and ventricular arrhythmia, which has good clinical effect, high safety and can be widely used.