胺碘酮与利多卡因治疗老年性心肌梗死后室性心律失常的对比研究  

Comparative study of amiodarone and lidocaine treatment for senile myocardial infarction ventricular arrhythmias

作　　者：罗玮[1] 

机构地区：[1]广东省广宁县人民医院内科三区,广东广宁526300

出　　处：《中国现代医生》2013年第7期77-78,共2页China Modern Doctor

摘　　要：目的比较胺碘酮与利多卡因治疗老年性心肌梗死后室性心律失常患者的临床疗效。方法选取我院收治的老年性心肌梗死后室性心律失常患者158例,根据用药不同分为胺碘酮组和利多卡因组各79例。比较和分析两组患者的临床治疗情况和不良反应发生情况。结果胺碘酮组室性期前收缩和室性心动过速的有效率分别为97.92%、90.32%,均高于利多卡因组的93.88%、83.33%;胺碘酮组的总有效率为94.94%,高于利多卡因组的89.87%;胺碘酮组不良反应发生率为1.26%,低于利多卡因组的2.53%,差异均不具有统计学意义(P>0.05)。结论胺碘酮可作为老年性心肌梗死后室性心律失常患者较为理想的临床治疗药物,适于推广和应用。Objective To compare the clinical effects of amiodarone and lidocaine treatment for senile myocardial in- farction ventricular arrhythmias. Methods Selected 96 senile myocardial infarction ventrieular arrhythmias patients in our hospital. All the patients were divided into amiodarone group and lidocaine group. There were 48 cases in each group. The clinical effects and adverse reaction rates of patients in two groups were compared and analysised. Results The clinical efficiency of amiodarone group for ventrieular contractions and veutricular tachycardia were 97.92%, 90.32%, was higher than the 93.88% and 83.33% of clinical efficiency of lidocaine group. The total effective rate of amiodarone group was 94.94%, was higher than the 89.87% of the lidocaine group. The adverse reaction rate of amiodarone group was 1.26%, it was lower than the 2.53% of the lidocaine group, there were no significant statistical- ly （P 〉 0.05）. Conclusion Amiodaroue could be used as the ideal clinical treatment drug for patients with senile my- ocardial infarction ventricular arrhythmias. It is suitable for promotion and application in clinical.

关 键 词：老年性心肌梗死 室性心律失常 胺碘酮 利多卡因 

分 类 号：R541.7[医药卫生—心血管疾病]