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目的:对比研究和评价不同方法治疗小儿阵发性室上性心动过速(PSVT)的的疗效,提高转复率。方法:回顾性分析2002.04-2011.05我院住院治疗的37例PSVT患儿的临床资料,并分析比较心律平与胺碘酮的药物转复率,构成比采用x2检验,α=0.05。结果:37例患儿中,13例治疗原发病后自动转率,24例患儿给予心律平治疗,其中1例放弃治疗,5例未见效,心律平转复率为69.77%,5例未见效患儿改用胺碘酮治疗,1例死于原发病,1例控制症状后行射频消融术治愈,胺碘酮转复率为75%,二者之间无显著差异性。结论:心律平与胺碘酮均能较好的治疗小儿PSVT,对于反复发作,药物治疗无效的小儿PSVT,射频消融术已成为最佳选择。
OBJECTIVE: To compare and evaluate the efficacy of different methods in treating children with paroxysmal supraventricular tachycardia (PSVT) and improve the recovery rate. Methods: The clinical data of 37 children with PSVT treated in our hospital from 2002.04 to 2011.05 were analyzed retrospectively. The drug recovery rate of heart rhythm and amiodarone was analyzed and compared. The constituent ratio was x2, α = 0.05. Results: Among the 37 children, 13 cases were automatically switched to the primary disease and 24 cases were treated with heart rhythm. One case gave up treatment, 5 cases did not work, the conversion rate of heart rate was 69.77%, 5 cases No effective treatment of children to switch to amiodarone, 1 patient died of the primary disease, 1 case of symptoms and cure after radiofrequency ablation, amiodarone conversion rate of 75%, no significant difference between the two. Conclusion: Both venlafaxine and amiodarone can treat PSVT in children well, and radiofrequency ablation has become the best choice for recurrent and drug-ineffective pediatric PSVT.