摘要
目的:观察并分析在急诊治疗中给予冠心病快速型心律失常实施胺碘酮治疗的临床效果。方法:择取2016年3月~2017年3月到本院急诊科接受治疗的150例冠心病快速型心律失常患者,给予所选取的患者使用胺碘酮进行治疗,观察治疗效果、不良反应发生情况,治疗前后心电图、血压、心率变化情况。结果:(1)150例患者治疗后效果:150例患者治疗后,显效率63.3%(95/150),有效率24.7%(37/150),无效率12.0%(18/150),治疗总有效率88.0%(132/150)。其中对于室性早搏、阵发性室上性心动过速的治疗总有效率较高。(2)150例患者不良反应发生情况:在治疗中,有6.7%(10/150)患者出现不良反应。其中2例出现恶心呕吐现象,4例出现血压降低现象,4例出现心率明显降低现象。经过对静脉滴注速度、使用药物剂量等多种对症治疗,不良反应均得到显著改善;(3)150例患者治疗前后心电图、血压、心率变化情况比较:治疗后150例患者心电图、血压、心率变化情况显著优于治疗前(P<0.05),差异具有统计学意义。结论:在急诊治疗中,给予冠心病快速型心律失常患者实施胺碘酮治疗,治疗效果佳,不良反应发生率较低,并且能够有效改善血压、心率等指标,值得进一步推广。
Objective： To observe and analyze the clinical effect of amiodarone in patients with coronary heart disease and rapid arrhythmia during emergency treatment. Methods： A total of 150 patients with coronary heart disease（Tachyarrhythmia） admitted to our emergency department from March 2016 to March 2017 were enrolled in this study. Amiodarone was given to the selected patients for treatment. Response to the situation before and after treatment, ECG, blood pressure, heart rate changes. Results： After treatment, the effective rate was 63.3%（95/150）, the effective rate was 24.7%（37/150）, the effective rate was 12.0%（18/150）, the total effective rate was 88.0%（132/150）（10/150）. After treatment, ECG, blood pressure and heart rate were significantly better than those before treatment （P〈0.05）. Conclusions： Amiodarone given to patients with coronary heart disease with tachyarrhythmia during emergency treatment has good curative effect, low incidence of adverse reactions, and can effectively improve blood pressure and heart rate, which are worth further promotion.
作者
孙德志
Sun Dezhi(civil rights of Minquan People＇s Hospital,Shangqiu,Henan 47680)
出处
《北方药学》
2018年第11期16-17,共2页
Journal of North Pharmacy
关键词
冠心病
心律失常
胺碘酮
Coronary heart disease
Arrhythmia
Amiodarone
