电复律治疗室性心动过速疗效初步观察及评估

Preliminary Observation and Evaluation on Curative Effect of Electroversion in Treatment of Ventricular Tachycardia

目的探讨电复律治疗室性心动过速的疗效。方法方便选取2014年2月—2015年1月该院收治的室性心动过速患者60例,随机分组方法:随机数字表法,分为两组,药物+电复律组和药物组,每组30例。药物组用胺碘酮治疗,药物+电复律组用胺碘酮+电复律治疗。对比两组患者复律效果及死亡、并发症情况。结果跟药物组比较,药物+电复律组复律成功率明显较高,死亡率明显较低(P<0.05),但并发症差异无统计学意义(P>0.05)。结论室性心动过速患者在胺碘酮治疗基础上,对无效患者采取电复律治疗,效果确切,值得推广。

Objective To discuss the curative effect of electroversion in treatment of ventricular tachycardia. Methods 60 cases of patients with ventricular tachycardia treated from February 2014 to January 2015 were selected and randomly divided into two groups with 30 cases in each, the drug group were treated with amiodarone, the drug plus electroversion group were treated with amiodarone combined with electroversion, and the electroversion effects, deaths and complications were compared between the two groups. Results The success rate in the drug plus electroversion group was obviously higher than that in the drug group, but the dearth rate was obviously lower, P0.05, the difference in the complication was not obvious, P〈 0.05. Conclusion The effect of electroversion treatment for ineffective patients on the basis of the amiodarone treatment for patients with ventricular tachycardia is definite, which is worth promotion.