心血管急症救治86例缓慢性心律失常的临床研究  

Clinical research of cardiovascular emergency in treatment of slow arrhythmia of 86 cases

作　　者：孙佳文 虢英荣 

机构地区：[1]山东省莒县人民医院急诊科,山东莒县276500

出　　处：《中国医药科学》2016年第19期179-181,共3页China Medicine And Pharmacy

摘　　要：目的研究心血管急症救治对缓慢性心律失常患者的临床价值。方法选取2015年3月-2016年4月在我院进行心血管急症救治的86例缓慢性心律失常患者,按照治疗方法的不同,将其分为治疗组和对照组,每组43例。分别应用24h心电图（Holter）及心电图的诊断方法后,进行为期1个月的治疗,治疗组选用心脉通胶囊,对照组选用常规治疗,观察治疗前后变化。结果缓慢性心律失常患者心电图及Holter等心电监测明显异常。经临床治疗1个月,治疗组和对照组均可改善患者心悸、胸闷、面色苍白、头晕耳鸣、气短乏力、口唇发绀等症状,除气短乏力外,治疗组治疗效果均明显好于对照组,两组对比的结果具有明显的统计学意义（P〈0.05）。两组在治疗结果显示,明显科学地改善患者的总体的心率、平均心率、最快心率、最慢心率,且治疗组临床疗效明显优于对照组,两组的对比结果具有显著的统计学意义（P〈0.05）。结论心电图及24h心电图是缓慢性心率失常的确诊方式,但心电图优于24h心电图,可更好的作为缓慢性心率失常的诊断标准。心脉通胶囊在改善缓慢性心律失常患者的各种临床症状方面有显著疗效,且能提高患者的各项心率标准,并能降低患者血清血脂,对改善缓慢性心律失常具有显著的临床疗效。Objective To explore the clinical value of cardiovascular emergency in treatment of slow arrhythmia. Methods 86 cases of patients with slow arrhythmia cured with cardiovascular emergencies from March 2015 to April 2016 in our hospital were selected.According to different treatment methods,they were divided into treatment group and control group with 43 cases in each.24 h ECG（Holter） and ECG diagnostic methods were respectively used for a period of one month of treatment in the two groups.Xinmaitong Capsule was used in treatment group,and conventional therapy was used in control group.The changes before and after the treatment were observed. Results Slow arrhythmias and other ECG and Holter ECG monitoring were obviously abnormal.After the clinical treatment for a month,patients＇ heart palpitations,chest tightness,pale,dizziness,ringing in the ears,shortness of breath,lips cyanosis and other symptoms were all improved in the two groups.In addition to shortness of breath,all the indexes of treatment group were significantly better than those of control group.The results of the two groups had obvious statistical difference（P〈0.05）.Total heart rate, average heart rate,the fastest heart rate and the slowest rate of the two groups were all significantly improved.Clinical effect of treatment group was significantly better than that of control group.The results of the two groups had obvious statistical difference（P〈0.05）. Conclusion ECG and 24 h ECG are good way to diagnose slow arrhythmias, but ECG is better than the 24 h electrocardiogram as a slow arrhythmias diagnostic criteria.XMT has significant effect in improving patients who have bradycardia various clinical symptoms.It can improve the patient＇s heart rate standard.It can reduce serum lipids and having a significant clinical effect to improve the bradycardia.

关 键 词：心血管急症救治 缓慢性心律失常 临床价值 

分 类 号：R541.7[医药卫生—心血管疾病]