普罗帕酮、毛花甙丙转复围术期室上性心动过速比较  

Comparison of propafenone and lanatoside in reverting proxysmal supraventricular tachycardia during perioperation

作　　者：高仲侠 刘玉传[1] 夏晓琼[2] 王震[3] 包宗明[4] 

机构地区：[1]蚌埠医学院附属医院麻醉科,安徽蚌埠233004 [2]安徽省巢湖市第一人民医院麻醉科,238000 [3]安徽省芜湖市第二人民医院麻醉科,241000 [4]蚌埠医学院附属医院心血管科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2002年第2期110-111,共2页Journal of Bengbu Medical College

摘　　要：目的 :对比分析围术期普罗帕酮和毛花甙丙转复阵发性室上性心动过速 (PSVT)的疗效。方法 :将PSVT患者随机分为普罗帕酮组 (Ⅰ组 )和毛花甙丙组 (Ⅱ组 ) ,分别静脉注射普罗帕酮 70～ 1 2 0mg和毛花甙丙 0 .4～ 0 .6mg ,连续观察心率、心律及血压的变化。结果 :60例患者 ,PSVT病程 0～ 1 3 .5年 ,Ⅰ组成功率为 90 .6 % ,Ⅱ组成功率为 75 .0 % (P >0 .0 5)。两组转复成功时间差异也无显著性 (P >0 .0 5)。结论 :在围术期转复PSVT治疗中 ,普罗帕酮和毛花甙丙一样 ,有效。Objective:To compare the effects of propafenone and lanatoside in reverting paroxysmal supraventricular tachycardia(PSVT) during perioperation.Methods:Patients with PSVT were randomly divided into propafenone group(group Ⅰ) and lanatoside group(group Ⅱ).Propafenone(70 to 210 mg) or lanatoside( 0.4 to 0.6 mg) were given intravenously,then the findings of cardioversion were observed.Results:History of PSVT in the patients was 0 to 13.5 years.The success rate of cardioversion in group Ⅰ(90.6%) was not significantly different from that in group Ⅱ(75.0%)( P >0.05).There was also no signicant difference in comparison of conversion time between the two of groups( P >0.05).Conclusions:Propafenone is as effective and safe as lanatoside in treatment of patients with PSVT during perioperation.

关 键 词：室上性心动过速 围手术期 普罗帕酮 毛花甙丙 转复 比较 

分 类 号：R541.71[医药卫生—心血管疾病]