摘要
目的探讨静脉推注普罗帕酮与同步电复律在室上性心动过速(supraventricular tachycardia,SVT)院前急救中的应用价值。方法回顾性分析2021年7月—2023年6月北京市红十字会救援服务中心收治的84例SVT患者的临床资料,根据院前急救方法分为A组(药物干预组,n=56)与B组(同步电复律组,n=28),比较两组患者院前急救效果。结果A组总有效率为94.64%,B组总有效率为96.43%,组间比较,差异无统计学意义(χ^(2)=0.131,P=0.717)。A组一次复律成功率低于B组,差异有统计学意义(P<0.05),两组患者总复律成功率比较,差异无统计学意义(P>0.05)。A组复律时间稍短于B组,差异有统计学意义(P<0.05),两组患者心率以及血压水平比较,差异无统计学意义(P>0.05)。A组不良反应的总发生率低于B组,差异有统计学意义(P<0.05)。结论在SVT患者院前急救中,药物干预、同步电复律两种方式均可取得较好的治疗效果,后者一次复律成功率更高,前者不良事件的总发生率更低,需根据患者实际情况进行选择。
Objective To investigate the application value of intravenous push propafenone and synchronized electri⁃cal cardioversion in prehospital emergency treatment of supraventricular tachycardia(SVT).Methods Clinical data of 84 patients with SVT admitted to the Beijing Red Cross Rescue Service Center from July 2021 to June 2023 were ret⁃rospectively analyzed.According to the prehospital emergency treatment methods,they were divided into group A(drug intervention group,n=56)and group B(synchronous electrical cardioversion group,n=28),and the prehospital emergency treatment effects of the two groups of patients were compared.Results The total effective rate of group A was 94.64%,and the total effective rate of group B was 96.43%,and the difference between the groups was not statisti⁃cally significant(χ^(2)=0.131,P=0.717).The success rate of one resuscitation in group A was lower than that in group B,the difference was statistically significant(P<0.05),but there was no statistically significant difference in the total re⁃suscitation success rate between the two groups(P>0.05).The resuscitation time in group A was slightly shorter than that in group B,the difference was statistically significant(P<0.05).But there was no statistically significant difference in heart rate and blood pressure levels between the two groups(P>0.05).The total incidence of adverse reactions in group A was lower than that in group B,and the difference was statistically significant(P<0.05).Conclusion In the pre⁃hospital emergency treatment of SVT patients,pharmacological intervention and synchronized electrical cardioversion can achieve better therapeutic effect,the latter has a higher success rate of one resuscitation,and the total incidence of adverse events of the former is lower,which should be selected according to the actual situation of the patients.
作者
袁运
YUAN Yun(Rescue Service Section,Beijing Red Cross Rescue Service Center,Beijing,100192 China)
出处
《中外医疗》
2023年第29期60-63,共4页
China & Foreign Medical Treatment
关键词
室上性心动过速
普罗帕酮
同步电复律
院前急救
成功复律
Supraventricular tachycardia
Propafenone
Synchronized electrical cardioversion
Prehospital emergency
Successful cardioversion
