探讨急诊应用胺碘酮治疗冠心病快速心律失常的效果

Effect of Amiodarone in the Emergency Treatment of Tachyarrhythmia in Patients with Coronary Heart Disease

目的:探究急诊冠心病快速心律失常患者实施胺碘酮治疗的临床效果。方法:择取2016年6月~2018年6月期间在某院接受治疗的80例急诊冠心病快速心律失常患者为研究对象,根据患者入院时间先后顺序将其分为对照组和观察组各40例。对照组患者采取常规治疗方案,观察组患者则在常规治疗基础上实施胺碘酮治疗,记录两组患者临床疗效,心率以及心电图指标。结果:观察组患者临床治疗总有效率92.50%,对照组对应数据72.50%,观察组患者心率显著低于对照组;且心电图监测指标中Q-T数据相比对照组更低,P-T数据相比对照组更高,数据差异有统计学意义(P<0.05)。结论:针对急诊冠心病快速心律失常患者实施胺碘酮治疗效果确切,可有效改善患者心率过速症状,因此可在临床中针对该种治疗方法进行推广应用。

Objective:To investigate the clinical effect of amiodarone in the emergency treatment of tachyarrhythmia in patients with coronary heart disease. Methods: 80 patients with tachyarrhythmia in emergency department of coronary heart disease treated in a hospital from June 2016 to June 2018 were divided into control group(40 cases) and observation group(40 cases) according to the time of admission. Patients in the control group received routine treatment, while patients in the observation group received amiodarone on the basis of routine treatment. The clinical efficacy, heart rate and electrocardiogram index of the two groups were recorded. Results: The total effective rate of clinical treatment in the observation group was 92.50% and the corresponding data of the control group was 72.50%. The heart rate of the patients in the observation group was significantly lower than that in the control group, and the Q-T data in the ECG monitoring index was lower than that in the control group, and the P-T data in the control group was higher than that in the control group. The difference was statistically significant(P<0.05). Conclusion: Amiodarone is effective in the treatment of tachyarrhythmia in patients with coronary heart disease. It can effectively improve the symptoms of tachyarrhythmia, so it can be widely used in clinical practice.