自制便携式心律失常治疗仪在院前急救中的运用

Application of self-made portable arrhythmia treatment meter for first aid before admission to hospital

目的探讨自制便携式心律失常治疗仪在院前急救中治疗阵发性室上性心动过速的疗效和安全性。方法在院前急救中应用自制便携式心律失常治疗仪经食道心房调搏方法治疗阵发性室上性心动过速,并与药物(普罗帕酮)组对照,观察两组成功率和不良反应。结果50例患者,调搏组28例,成功率为89.29%;药物组22例,成功率77.27%(P>0.05)。调搏组终止时间为(10.84±6.14)min,药物组为(36.65±14.50)min(P<0.001);调搏组不良反应(1.29±0.46)项次,药物组2.41±0.80项次(P<0.001)。结论自制便携式心律失常治疗仪在院前急救中治疗阵发性室上性心动过速疗效肯定,且简单易行、安全有效,值得推广。

Objective To explore the efficacy and security of the self- made portable arrhythmia treatment meter for first aid of paroxysmal supraventricular tachycardia （ PSVT） before admission to hospital. Method Pacing group was 28 cases with the self- made portable arrhythmia treatment meter to treat PSVT by transesophageal atrial pacing（ TAP ）. Drug group was 22 cases with propafenone hydrochloride injection . The successful rate, care time and side effect were observed. Results There were no significant differences in successful rate between the pacing group and the drug group（ 89.29% vs 77.27% ,P 〉 0.05） ,but the care time in pacing group（ 10.84 ±6.14） min was significantly shorter than that in drug group[ （ 36.65 ± 14.50） min ,P 〈0.001 ] ,and the side effect in pacing groupl. 29 ±0.46 was significantly less than that in drug group （ 2.41 ± 0.80, P 〈 0.001 ）. Conclusion It is easy and feasible, effective and secure to treat PSVT with the self - made portable arrhythmia treatment meter before admission to hospital.