胺碘酮治疗老年急性心肌梗死并室性心律失常的临床效果研究

目的探讨胺碘酮在老年急性心肌梗死并发室性心律失常患者中的治疗效果。方法选择84例老年心肌梗死并发室性心律失常患者,将所有患者分为2组(n=42),试验组患者给予利多卡因治疗,对照组患者采用胺碘酮治疗,对2组患者的治疗效果进行比较。结果试验组患者治疗总有效率为97.6%;对照组患者治疗总有效率为73.8%,2组比较差异有统计学意义(P<0.05)。对照组患者有2例存在心动过缓表现,3例甲状腺功能异常患者,试验组患者中有1例心动过缓患者,组间比较,差异有统计学意义(P<0.05)。结论胺碘酮能够有效改善患者临床表现,改善患者治疗效果,同时还能够降低患者并发症发生率,安全性非常高。

Objective To investigate the effect of amiodarone in elderly patients with acute myocardial infarction complicated with ventricular arrhythmia. Methods 84 elderly patients with myocardial infarction complicated with ventricular arrhythmia were divided into two groups（n=42）. The experimental group was given Lidocaine, the control group was given Amiodarone. The clinical effects in the two groups was compared. Results The total effective rate in the experimental group was 97.6% while was 73.8% in the control group. There exists significant difference in the two groups（P〈0.05）. There are 2 patients with bradycardia and 3 patients with thyroid dysfunction in the control group. 1 bradycardia case is in the experimental group（P〈0.05）. Conclusion Amiodarone can effectively improve the clinical manifestations of patients, improve patient treatment effect, at the same time also can reduce the incidence of complications in patients with very high security.