盐酸胺碘酮在冠心病合并心律失常急诊治疗中的应用价值

Application value of amiodarone hydrochloride in emergency treatment of coronary heart disease complicated with arrhythmia

目的:探讨盐酸胺碘酮在冠心病合并心律失常急诊治疗中的应用价值。方法:将2018年1月至2019年9月期间江苏省人民医院急诊科收治的128例冠心病合并心律失常患者作为研究对象。将这128例患者分为A组(n=64)和B组(n=64)。对A组患者使用普罗帕酮氯化钠注射液进行治疗,对B组患者使用盐酸胺碘酮氯化钠注射液进行治疗。然后,比较两组患者的治疗效果、各项生命体征指标、心率改善值及其不良反应的发生率。结果:治疗后,与A组患者相比,B组患者治疗的总有效率和心率改善值均更高,其心率和不良反应的发生率均更低,P<0.05;两组患者收缩压的水平和舒张压的水平相比,P>0.05。结论:盐酸胺碘酮在冠心病合并心律失常急诊治疗中具有较高的应用价值,可有效地提高患者的治疗效果,且安全性较高。

Objective:To investigate the application value of amiodarone hydrochloride in emergency treatment of coronary heart disease complicated with arrhythmia.Methods:A total of 128 patients with coronary heart disease complicated with arrhythmia admitted to the emergency department of Jiangsu Provincial People’s Hospital from January 2018 to September 2019 were studied.The 128 patients were divided into group A(n=64)and group B(n=64).Patients in group A were treated with propafenone sodium chloride injection,and patients in group B were treated with amiodarone hydrochloride sodium chloride injection.Then,the treatment effect,vital signs,heart rate improvement and the incidence of adverse reactions were compared between the two groups.Results:Compared with patients in group A,patients in group B had higher total effective rate and improved heart rate,and lower incidence of heart rate and adverse reactions after treatment(P<0.05).Systolic blood pressure level and diastolic blood pressure level were compared between the two groups,P>0.05.Conclusion:Amiodarone hydrochloride has higher application value in the emergency treatment of coronary heart disease complicated with arrhythmia,and can effectively improve the treatment effect of patients with high safety.