胺碘酮治疗老年冠心病心律不齐的临床疗效观察

To Observe the Clinical Curative Effect of Amiodarone in Treatment of Senile Coronary Heart Disease Arrhythmia

目的观察胺碘酮治疗老年冠心病心律不齐的临床治疗效果。方法选取在我院进行诊治的老年冠心病患者,对照组使用慢性心律口服药物进行治疗,实验组使用胺碘酮治疗,观察两组的临床疗效以及并发症发生情况。结果对照组患者的总有效率是72.00%(36/50),实验组总有效率是92.00%(46/50)。实验组总有效率高于对照组,并发症和不良反应小于对照组,差异有统计学意义,P<0.05。实验组患者的心力衰竭、恶性心律不齐、心源性休克以及心源性猝死等症状的发生率较之于对照组患者更低,差异有统计学意义,P<0.05。结论胺碘酮治疗老年冠心病心律不齐的疗效显著,能够减少并发症,比较安全。

Objective To investigate the clinical therapeutic effect of amiodarone in the treatment of senile coronary heart disease arrhythmia. Methods In our hospital for diagnosis and treatment of elderly patients with coronary heart disease, control group with chronic cardiac oral drug treatment, the experimental group used amiodarone treatment, observe two groups of clinical efficacy and complications. Results The total effective rate in the control group was 72.00% （36/50）, and the total effective rate in the experimental group was 92.00% （46/50）.the total efficiency of experimental group was higher than that of the control group, complications and adverse reactions than the control group, the difference was statistically significant, P〈0.05. The experimental group of patients with heart failure, malignant arrhythmia, cardiogenic shock and sudden cardiac death and other symptoms of the incidence of patients was significantly lower than in the control group, and the differences between the two groups, there was difference statistically significance, P〈0.05. Conclusion The efficacy of amiodarone in the treatment of senile coronary heart disease arrhythmia significantly, can reduce complications, relatively safe.