心律平和胺碘酮治疗阵发性室上性心动过速疗效观察  

Observation between propafenone and amiodarone in treating paroxysmal supraventricular tachycardia

作　　者：吴郁珍[1] 俞祥玫[1] 李诸安[1] 

机构地区：[1]福建医科大学附属厦门第一医院急诊科,厦门361003

出　　处：《中国实用医药》2010年第3期188-189,共2页China Practical Medicine

摘　　要：目的观察心律平和胺碘酮注射液治疗阵发性室上性心动过速(PSVT)的疗效。方法心律平治疗36例PSVT与胺碘酮治疗28例PSVT对比观察。结果心律平和胺碘酮转复有效率分别是100%和89.3%(25/28);转复时间:心律平(12.6±6.7)min明显短于胺碘酮(29.5±11.3)min(P<0.01)。结论心律平和胺碘酮均疗效好,心律平见效快,适用于无严重器质性心脏病,心功能正常者;胺碘酮见效较慢、适应证广,有器质性心脏病,心肌缺血或心功能不全患者首选。Objective To observe the effects of Propafenone and Amiodarone in treating paroxysmal supraventricular taehycardia （PSVT）. Methods 36 patients of PSVT were treated with Propafenone and the other 28 patients were treated with Amiodarone. Results The termination rate of PSVT was 100% in Propafenone and 89. 3% （25/28） in Amiodarone respectively. Cardioversion time： Propafenone （ 12. 6±6. 7） win was significantly shorter than Amiodarone （29.5 ±11.3 ） vain（ P 〈 0.01 ）. Conclusion Propafenone and Amiodarone both have good effects in treating PSVT, Propafenone takes effect faster, but better for patients with normal cardiac function and without serious organic heart diseases. Amiodarone takes effect slower, but with wide indications. For patients with organic heart diseases, myocardial ischemia or heart failure, Amiodarone can be preferred.

关 键 词：心律平 胺碘酮 阵发性室上性心动过速 

分 类 号：R541.7[医药卫生—心血管疾病]