急性心肌梗死室性心律失常行胺碘酮治疗的效果

Effect of Amiodarone on Ventricular Arrhythmias in Acute Myocardial Infarction

目的探究胺碘酮治疗急性心肌梗死室性心律失常的效果。方法将德州市人民医院自2018年10月—2019年9月期间收治的78例急性心肌梗死室性心律失常患者采取抽签法随机分为试验组(n=39)与参照组(n=39),参照组患者实施利多卡因治疗,试验组患者实施胺碘酮治疗,对比两组患者治疗效果及不良反应发生情况。结果试验组治疗有效率为97.43%优于参照组的82.05%(χ2=5.014 3,P=0.025 1),不良发应发生率为7.69%低于参照组的35.90%(χ2=8.658 9,P=0.003 2),P <0.05,数据存在统计学分析意义。结论急性心肌梗死室性心律失常患者实施胺碘酮治疗效果显著,安全性更高,可促进预后,值得推广。

Objective To investigate the effect of amiodarone on ventricular arrhythmias in acute myocardial infarction.Methods 78 patients with ventricular arrhythmias with acute myocardial infarction admitted to the College of Medicine and Nursing of Dezhou University from October 2018 to September 2019 were randomly divided into a test group(n=39)and a reference group(n=39).The patients in the reference group were treated with lidocaine,and the patients in the test group were treated with amiodarone.The treatment effects and adverse reactions of the two groups were compared.Results The effective rate of treatment in the experimental group was 97.43%,which was better than 82.05%in the reference group(χ2=5.0143,P=0.0251).The incidence of adverse reactions was 7.69%,which was lower than 35.90%in the reference group(χ2=8.6589,P=0.0032),P<0.05,statistically significant.Conclusion Amiodarone treatment is effective and safer in patients with ventricular arrhythmias in acute myocardial infarction.It can promote prognosis and is worth promoting.