胺碘酮治疗急性心肌梗死后室性心律失常临床分析

Clinical Analysis of Ventricular Arrhythmias after Amiodarone Treatment for Acute Myocardial Infarction

目的分析胺碘酮治疗急性心肌梗死后实行心律失常的价值。方法随机选择该院2014年7月—2015年12月收治的急性心肌梗死后室性心律失常患者96例,随机分为2组,治疗组和对照组各48例,两组患者均接受常规治疗,同时,治疗组给予胺碘酮治疗,对照组给予利多卡因治疗,观察临床治疗效果,对比两组患者治疗前后PR间期、QPR波时限及心率。结果治疗前,治疗组PR间期为(148.6±21.6)ms、QPR波时限为(91.4±10.5)ms、心率为(102.6±12.8)次/min,对照组PR间期为(148.9±21.3)ms、QPR波时限为(91.7±10.2)ms、心率为(102.9±12.8)次/min,差异无统计学意义(P>0.05)。治疗后,治疗组PR间期为(189.7±20.6)ms、QPR波时限为(114.6±11.5)ms高于对照组PR间期为(172.8±20.6)ms、QPR波时限为(102.3±11.2)ms,治疗组心率为(72.2±9.8)次/min,低于对照组心率为(189.6±8.4)次/min;治疗组临床治疗总有效率93.8%,高于对照组79.2%,差异有统计学意义(P<0.05)。结论急性心肌梗死后室性心律失常患者采用胺碘酮治疗后,可有效改善患者心电图情况,刺进患者康复。

Objective To analyze the value of ventricular arrhythmias after amiodarone treatment for acute myocardial infarction. Methods Random selection 96 cases of patients with ventricular arrhythmias after acute myocardial infarction admitted and treated in our hospital from July 2014 to December 2015 were selected and randomly divided into two groups with 48 cases in each, both groups received the routine treatment, at the same time, the treatment group were treated with amiodarone, while the control group were treated with lidocaine, and the clinical treatment effect was observed, and the PR interval, QPR wave time limit and heart rate of the two groups before and after treatment were compared. Results Before treatment, the differences in the PR interval, QPR wave time limit and heart rate between the treatment group and the control group had no statistical significance[（148.6±21.6）ms,（91.4±10.5）ms,（102.6±12.8）times/min vs（148.9 ±21.3）ms,（91.7±10.2）ms,（102.9±12.8）times/min], and the differences had no statistical significance（P〉0.05）, after treatment, the PR interval and QPR wave time limit in the treatment group were higher than those in the control group[（189.7±20.6）ms,（114.6±11.5）ms vs（172.8±20.6）ms,（102.3±11.2） ms], and the heart rate in the treatment group was lower than that in the control group[（72.2±9.8）times/min vs（189.6±8.4）times/min], and the total clinical treatment effective rate in the treatment group was higher than that in the control group（93.8% vs 79.2%）, and the difference had statistical significance（P〈0.05）. Conclusion The amiodarone treatment for patients with ventricular arrhythmias after acute myocardial infarction can effectively improve the electrocardiogram of patients and promote the recovery of patients.