修订版瓦式动作在急性室上速患者中的应用研究

Application of modified Valsalva Maneuver technique in patients with acute supraventricular tachycardia

目的探讨修订版瓦式动作在急性室上速患者中的应用效果。方法选取2018年10月至2019年3月急性室上速患者,使用修订版瓦式动作进行复律的效果与2018年3月至2018年9月急性室上速患者进行传统治疗复律效果进行对比,对比两种治疗方法的成功率、复律成功患者抢救室滞留时间、复律产生费用、因相同病例半年再入院率。结果实验组的33例患者中,18例采用修订版瓦式动作进行心脏复律,其中复律成功14例,较对照组传统治疗复律方法成功率高,差异有统计学意义(P<0.05),且实验组复律成功后抢救室滞留时间、复律产生费用、因相同病例半年再入院率均明显低于对照组。结论修订版瓦式动作不需要借助任何器械,简便,易行,容易学,无经济费用,且患者不需担心药物副作用或不适感等,在终止阵发性室上速时值得采用。

Objective To explore the application effect of modified Valsalva Maneuver technique in patients with acute supraventricular tachycardia.Methods Patients with acute supraventricular tachycardia from October 2018 to March 2019 were enrolled,and the effect of cardioversion of modified Valsalva Maneuver technique was observed.The effect of cardioversion of traditional treatment in patients with acute supraventricular tachycardia from March 2018 to September 2018 was observed.Results Of the 33 patients in the experimental group,18 cases underwent cardioversion through modified Valsalva Maneuver technique,and the cardioversion was successful in 14 cases,which was higher than that in the control group(P<0.05);the retention time in emergency room after successful cardioversion,medical expense,the rate of readmission within 6 months in the experimental group were all significantly lower than those in the control group.Conclusion Modified Valsalva Maneuver technique does not require any equipment,is simple,easy to learn,with no economic cost,and the patients do not need to worry about side effects of the drug or discomfort,and is worthy of use when terminating paroxysmal supraventricular tachycardia.