体外循环术后室性心律失常应用胺碘酮与利多卡因后血液动力学及临床疗效观察  

Observation on the effect of amiodarone and lidocaine in patients after cardiac surgery with cardiopulmonary bypass

作　　者：雷贤英[1] 钟庆[2] 甘辞海[1] 唐显玲[2] 姜启栋[1] 高晓岚[1] 

机构地区：[1]泸州医学院附属医院ICU,四川泸州646000 [2]泸州医学院附属医院麻醉科,四川泸州646000

出　　处：《实用医院临床杂志》2009年第6期46-48,共3页Practical Journal of Clinical Medicine

摘　　要：目的观察胺碘酮与利多卡因对体外循环术后室性心律失常的疗效及对血流动力学的影响。方法体外循环术后并发室性心律失常患者87例,分为胺碘酮组(A组)42例和利多卡因组(L组)45例,分别予以胺碘酮及利多卡因治疗,持续心电监护,观察用药前后有创平均动脉压(MAP)、心率(HR)和中心静脉压(CVP)变化,比较临床疗效。结果胺碘酮组总有效率92.86%,利多卡因组总有效率78.78%,差异有显著性意义(2χ=3.89,P<0.05);两组MAP、HR、CVP值比较,差异均无显著性意义(P>0.05)。结论胺碘酮治疗体外循环术后并发室性心律失常的有效率高于利多卡因,二者对血流动力学的影响差异小。Objective To observe the effects of amiodarone and lidocaine on anti-arrhythmia and hemodynamic index in patients after cardiac surgery with cardiopulmonary bypass.Methods 87 cases of ventricular arrhythmia patients after cardiac surgery with cardiopulmonary bypass into two groups.42 cases treated with amiodarone and 45 cases with lidocaine.Electrocardio-monitors MAP,HR and CVP value were observed.Results The total effective rate of amiodarone group was 92.86%,while lidocaine group was 78.78%,and the differ...

关 键 词：胺碘酮 利多卡因 体外循环 室性心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]