改良的Valsalva动作在阵发性室上性心动过速中的应用

Application of modified valsalva maneuver in paroxysmal supraventricular tachycardia

目的探讨改良的Valsalva动作在阵发性室上性心动过速患者中的应用效果。方法选择我院2018年1月—2018年12月收治的30例阵发性室上性心动过速患者纳入本次研究,由专科护士指导患者运用改良的Valsalva动作终止阵发性室上性心动过速发作,记录患者一次复律成功率、复律总成功率以及不良反应发生情况。结果本组30例患者共复律成功13例,失败17例,复律总成功率为43.33%,其中一次复律成功率11例,二次复律成功2例,一次复律成功率为36.67%。治疗期间共出现胸闷1例、头晕1例,不良反应总发生率为6.67%。结论改良的Valsalva动作在阵发性室上性心动过速患者中的应用效果显著,复律成功率较高且不良反应较少,值得临床推荐。

Objective To investigate the effect of modified Valsalva maneuver in paroxysmal supraventricular tachycardia.Methods 30 patients with paroxysmal supraventricular tachycardia who were treated in our hospital from January 2018 to December 2018 were included in this study.The special nurse instructed the patients to use the modified Valsalva action to stop the paroxysmal supraventricular tachycardia,and recorded the success rate of one cardioversion,the total success rate of cardioversion and the occurrence of adverse reactions.Results among the 30 patients,13 cases were successful and 17 cases failed.The total successful rate was 43.33%.Among them,11 cases were successful in one time,2 cases were successful in two times,and 36.67%in one time.During the treatment,there were 1 case of chest distress and 1 case of dizziness.The total incidence of adverse reactions was 6.67%.Conclusion The application of the modified Valsalva maneuver in paroxysmal supraventricular tachycardia is effective,the successful rate of cardioversion is high and the adverse reactions are less,which is worthy of clinical recommendation.