步长稳心颗粒联合胺碘酮治疗高龄老人急性心肌梗死伴心房颤动临床疗效观察  

Impact of Buchang Wenxin Granule Combined with Amiodarone in the Treatment of Atrial Fibrillation in Elderly Patients with Acute Myocardial Infarction

作　　者：郭旭[1] 

机构地区：[1]沈阳医学院附属中心医院,辽宁沈阳110024

出　　处：《辽宁中医药大学学报》2016年第2期149-151,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨研究步长稳心颗粒联合胺碘酮治疗急性心肌梗死伴心房颤动的临床疗效。方法:将40例高龄老人急性心肌梗死伴心房颤动患者随机分为观察组和对照组,观察组给予步长稳心颗粒联合胺碘酮治疗,对照组给予胺碘酮治疗,治疗结束后,观察两组临床治疗效果、心电图变化、转复时间及不良反应情况。结果:治疗后观察组总有效率为95.0%,对照组总有效率为75.0%;两组患者治疗前后收缩压、舒张压、P-R间期、QTc等无显著变化(P>0.05),心率和QT-间期有显著性差异(P<0.05);观察组患者住院时间、转复时间和院内病死率低于对照组,窦性心律维持率和心房颤动发作控制率高于对照组;观察组不良反应例数低于对照组,两组治疗效果比较具有显著性差异,观察组疗效优于对照组。结论:步长稳心颗粒联合胺碘酮治疗高龄老人急性心肌梗死伴心房颤动临床效果显著,安全快速,用药后不良反应发生率低,值得临床推广应用。Objective：To investigate the clinical effect of the treatment of acute myocardial infarction with atrial fibrillation by the combination of Buchang Wenxin Granules combined with amiodarone in the treatment of acute myocardial infarction. Methods：40 cases of elderly patients with acute myocardial infarction with atrial fibrillation were randomly divided into observation group and control group,the observation group was treated with the combination of Buchang Wenxin Granules,the control group was treated with amiodarone,and after the end of treatment,two groups were observed. Results：The total effective rate was 95% in treatment group and 75% in control group. There was no significant difference between SBP,DBP,P-R,QTc of two groups（P0.05）. Heart rate and QT- interval were significantly different（P0.05）. The control group was significantly higher than that in control group,and the control group was better than control group. Conclusion：The clinical effect of the treatment of acute myocardial infarction with atrial fibrillation and atrial fibrillation in the elderly patients with acute myocardial infarction is significant,safe and fast,and the incidence of adverse reactions is low,it is worthy of clinical application.

关 键 词：步长稳心颗粒 胺碘酮 急性心肌梗死 心房颤动 

分 类 号：R542.22[医药卫生—心血管疾病]