胺碘酮联合美托洛尔静脉注射对快速心律失常治疗的效果及安全性评价.docVIP

精品论文 参考文献 胺碘酮联合美托洛尔静脉注射对快速心律失常治疗的效果及安全性评价 王鲁奇 　　（河北大学附属医院心内科 河北保定 071000） 　　【摘要】目的：研究胺碘酮联合美托洛尔静脉注射对快速心律失常治疗的效果及安全性。方法：试验对象：我院2013年2月～2015年1月收治的80例快速心律失常患者。患者分组方法：随机数字表法。80例患者分为单用组和联用组两个组别。单用组单用胺碘酮；联用组胺碘酮联合美托洛尔静脉注射。观察指标：（1）有效率、转复率；（2）不良事件发生率；（3）患者起效时间、治疗前后心率、血压差值的差异。结果：（1）联用组相比于单用组有效率、转复率更高，chi;2检验统计学差异显著，P＜0.05；（2）联用组相比于单用组不良事件发生率相似，chi;2检验统计学差异不显著，P＞0.05；（3）联用组相比于单用组起效时间更短、治疗前后心率、血压差值更大，t检验统计学差异显著，P＜0.05。结论：胺碘酮联合美托洛尔静脉注射对快速心律失常治疗的效果及安全性高，值得推广。 　　【关键词】胺碘酮；美托洛尔；静脉注射；快速心律失常；效果；安全性 　　【中图分类号】R453 【文献标识码】A 【文章编号】1007-8231（2015）20-0066-02 　　Joint metoprolol intravenous amiodarone for rapid arrhythmia treatment efficacy and safety 　　【Abstract】Objective To study the amiodarone combined metoprolol intravenous injection of fast arrhythmia treatment, efficacy, and safety. Methods The test object: our hospital in February 2013-2015 of 80 rapid arrhythmia patients admitted in January. Grouping method: patients with random number table method. 80 patients were divided into group and combination group alone two groups. Amiodarone group alone alone; Combination of amiodarone combined metoprolol intravenous injection. Observation indicators (1) The efficient and successful rate; (2) The incidence of adverse events. (3) Working time, the differences between the heart rate, blood pressure difference before and after the treatment. Results (1) The combination group than in the set of efficient, successful rate is higher, chi;2 test statistically significant, Plt;0.05; (2) The combination group than use similar incidence of adverse events, chi;2 test statistics difference was not significant, Pgt;0.05; (3) Combination compared to use group working time shorter, heart rate, blood pressure before and after the treatment difference is bigger, the t test statistical significant difference, Plt;0.05. Conclusion Amiodarone combined metoprolol intravenous injection of fast arrhythmia treatment effect and high safety, is worth promoting. 　　【Key words】A