冠心病快速心律失常急诊应用胺碘酮的临床效果观察

Clinical Effect of Amiodarone in Emergency Treatment of Tachyarrhythmia of Coronary Heart Disease

目的探讨冠心病快速心律失常急诊应用胺碘酮临床效果。方法选取132例冠心病快速心律失常患者,对照组:应用普罗帕酮药物治疗,研究组:应用胺碘酮治疗。结果研究组患者的Q-T时间、P-R时间与心率指标改善的优于对照组(P <0.05)。治疗后,两组患者在治疗有效率方面对比,对照组84.85%,研究组98.48%(P <0.05)。研究组患者出现窦性心律过缓、血压下降与恶心呕吐情况低于对照组(P <0.05)。结论对冠心病快速心律失常患者急诊治疗过程中选择胺碘酮调节机体不适效果理想,药物安全可行性强,值得推广。

Objective To investigate the clinical effect of amiodarone in emergency treatment of tachyarrhythmia of coronary heart disease.Methods 132 patients with tachyarrhythmia of coronary heart disease were selected.The control group was treated with propafenone and the study group was treated with amiodarone.Results The improvement of Q-T time,P-R time and heart rate index in the study group was better than that in the control group(P<0.05).After treatment,the effective rate of the two groups was compared,84.85%in the control group and 98.48%in the study group(P<0.05).Sinus arrhythmia,decreased blood pressure and nausea and vomiting in the study group were lower than those in the control group(P<0.05).Conclusion Amiodarone is effective in regulating body discomfort in the emergency treatment of patients with rapid arrhythmia of coronary heart disease.The drug is safe and feasible,and worth popularizing.