胺碘酮治疗快速型心律失常急诊患者的效果观察  

Observation on the Effect of Amiodarone in the Treatment of Patients With Rapid Arrhythmia

作　　者：王丽萍[1] 吴松[1] 孙丹[1] 王大明[1] 

机构地区：[1]常州市第一人民医院急诊科,江苏常州213000

出　　处：《中国卫生标准管理》2017年第14期77-78,共2页China Health Standard Management

摘　　要：目的分析探讨胺碘酮治疗快速型心律失常急诊患者的临床疗效。方法选取2013年12月-2016年7月期间我院收治的138例快速型心律失常急诊患者,采用胺碘酮治疗。观察患者的治疗起效时间,治疗前后的心电图、血压、心率和治疗的临床疗效、安全性。结果患者的治疗起效时间为20~35 min,平均起效时间(24.56±6.82)min;治疗后,患者的心电图、血压、心率检测均明显改善,治疗后患者的P-R间期大于治疗前,心率、舒张压、收缩压均小于治疗前,差异有统计学意义(P<0.05);患者的治疗有效率为89.13%(123/138);患者不良反应发生率为8.70%(12/138)。结论应用胺碘酮治疗急诊快速型心律失常,能快速改善患者血压、心率等。疗效确切,安全性高。Objective To investigate the clinical efficacy of amiodarone in the treatment of patients with rapid arrhythmia. Methods 138 patients with rapid arrhythmia in our hospital from December 2013 to July 2016 were treated with amiodarone. The time of onset of treatment, the electrocardiogram, blood pressure, heart rate, and the clinical efficacy and safety of the treatment were observed. Results The onset time of the patients was 20 - 35 min, and the average onset time was（24.56 ± 6.82） min; After treatment, patients with ECG, blood pressure, heart rate were significantly improved, the P-R interval of the patients after treatment was greater, HR, diastolic blood pressure and systolic blood pressure were lower than before treatment（P 〈 0.05）; The effective rate of treatment was 89.13%（123/138）, and the incidence of adverse reaction was 8.70%（12/138）. Conclusion The application of amiodarone in the treatment of emergency arrhythmia can improve the blood pressure, psychology and so on. The curative effect is exact and the safety is high.

关 键 词：胺碘酮 快速型心律失常 急诊 

分 类 号：R541[医药卫生—心血管疾病]