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目的分析心房颤动患者的诊疗,为临床提供依据。方法 60例心房颤动患者,结合患者的实际病情程度以及临床观察结果,制定相对应的治疗措施。治疗结束后,观察所有患者的疗效。结果①持续性心房颤动患者的疗效:32例患者使用抗心律失常药物治疗后,其中有26例患者恢复窦性心律,复律成功率为81.25%;6例患者无法成功复律,随后给予控制心室率进行治疗,所有患者的心率<80次/min,有效率为100.00%。②永久性心房颤动患者的疗效:19例患者均给予控制心室率进行治疗,其中有16例患者的心率<80次/min,有效率为84.21。③阵发性心房颤动患者的疗效:7例患者给予病因治疗,均全部复律成功,有效率100.00%;另外2例患者给予抗心律失常药物进行治疗,均复律成功。结论根据心房颤动患者的实际病情程度以及临床观察结果实施相应的治疗方法,效果可观,值得临床推广。
Objective To analyze the diagnosis and treatment of patients with atrial fibrillation and provide the basis for clinical practice. Methods 60 cases of atrial fibrillation patients, combined with the actual condition of patients and clinical observation results, to develop the corresponding treatment. After treatment, observe the efficacy of all patients. Results ① The effect of persistent atrial fibrillation: 32 patients after treatment with anti-arrhythmic drugs, of which 26 patients to restore sinus rhythm, the success rate of cardioversion was 81.25%; 6 patients can not successfully cardioversion, and then given control Ventricular rate for treatment, all patients with heart rate <80 beats / min, the effective rate was 100.00%. The efficacy of permanent atrial fibrillation patients: 19 patients were given control of ventricular rate for treatment, including 16 patients with heart rate <80 beats / min, the effective rate was 84.21. ③ The efficacy of patients with paroxysmal atrial fibrillation: 7 patients were given the cause of treatment, all successful cardioversion, the effective rate of 100.00%; the other 2 patients were given anti-arrhythmic drugs for treatment, are cardioversion success. Conclusion According to the actual condition of patients with atrial fibrillation and the clinical observation of the results of the implementation of the appropriate treatment, the effect is considerable, worthy of clinical promotion.