胺碘酮治疗心衰合并心律失常临床效果探析

Investigation of the Clinical Effect of Amiodarone in the Treatment of Heart Failure Complicated by Arrhythmia

目的研究胺碘酮治疗心衰合并有心律失常的临床效果,以供临床参考使用。方法收集2012年12月—2014年9月来该院治疗的174例患者,随机将其等分为两组,对照组与实验组。对照组给予常规治疗,实验组在常规治疗措施基础上再予以静脉注射胺碘酮治疗。1个疗程后对比两组患者的心率、心功能情况以及心律失常改善情况,记录临床疗效。结果实验组患者死亡者7例(8.15%),存活率为91.95%;对照组患者死亡者16例(18.39%),存活率为81.61%;实验组心功能改善程度明显的优于对照组,差异有统计学意义(P<0.05)。结论在心衰合并有心律失常的治疗过程中,常规治疗加上胺碘酮治疗可以有效地改善患者的心功能以及心律失常的症状,临床疗效较好。

Objective To investigate the clinical effect of amiodarone in the treatment of heart failure complicated by arrhythmia so as to provide a reference for the clinical practice.Methods 174 cases with heart failure complicated by arrhythmia treated in our hospital from December 2012 to September 2014 were selected and randomly divided into two groups,the control group and the experimental group.Both groups were given the conventional treatment,in addition,the experimental group were given intravenous injection of amiodarone.After 1 course of treatment,the improvement in heart rate,heart function and arrhythmia was compared between the two groups,and the clinical efficacy of both groups was recorded.Results In the experimental group,7 patients（8.15%） died,the survival rate was 91.95%;in the control group,16 cases（18.39%） died,the survival rate was 81.61%;which showed that the improvement in heart function was much better in the experimental group than in the control group,P〈0.05.Conclusion For the treatment of heart failure complicated by arrhythmia,conventional treatment combined with amiodarone can effectively improve the heart function and arrhythmia with good clinical efficacy.