改良Valsalva动作在阵发性室上性心动过速患者中的应用效果分析  

Application Effect of Modified Valsalva Maneuver in Patients with Paroxysmal Supraventricular Tachycardia

作　　者：李婷 刘潺潺 王萍[3] 

机构地区：[1]广东省深圳市光明新区人民医院心内科,518000 [2]广东省深圳市光明新区人民医院神经内科,518000 [3]湖北省襄阳市中心医院(湖北文理学院附属医院)心内科,441000

出　　处：《实用心脑肺血管病杂志》2017年第11期77-79,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的观察改良Valsalva动作在阵发性室上性心动过速(PSVT)患者中的应用效果。方法选取2015-10-01至2017-03-01深圳市光明新区人民医院和襄阳市中心医院心内科和急诊内科收治的PSVT患者160例,采用密封信封抽签法分为标准Valsalva动作组和改良Valsalva动作组,每组80例。标准Valsalva动作组患者行标准Valsalva动作,改良Valsalva动作组患者行标准Valsalva动作后立即仰卧并被动抬高腿部。比较两组患者临床特征、转复成功率、1次转复成功率及治疗期间不良反应发生情况。结果两组患者男性比例、年龄、PSVT病史、冠心病病史、糖尿病发生率、高血压发生率、心脏瓣膜病发生率、肺炎发生率、慢性阻塞性肺疾病发生率、收缩压、舒张压、入院时心率及血钾比较,差异均无统计学意义(P>0.05)。改良Valsalva动作组患者复律成功率和1次复律成功率均高于标准Valsalva动作组(P<0.05);两组患者治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论改良Valsalva动作能有效提高PSVT患者复律成功率,且安全性较高。Objective To observe the application effect of modified Valsalva maneuver in patients with paroxysmal supraventricular tachycardia. Methods From 2015-10-01 to 2017-03-01, a total of 160 patients with paroxysmal supraventricular tachycardia were selected in Departments of Cardiology and Emergency Medicine,in the People＇ s Hospital of Guangming New District,Shenzhen,and Xiangyang Central Hospital,and they were divided into A group and B group according to sealed envelope method,each of 80 cases. Patients of A group carried out standard Valsalva maneuver,while patients of B group carried out standard Valsalva maneuver and then lied on their backs immediately and raise their legs passively. Clinical features,cardioversion success rate, first-time cardioversion success rate and incidence of adverse reactions during the treatment were compared between the two groups. Results No statistically significant differences of male proportion, age,history of paroxysmal supraventricular tachycardia or coronary heart disease,incidence of diabetes,hypertension,Heart valvular disease,pneumonia or COPD,SBP,DBP,heart rate at admission or serum potassium level was found between the two groups（ P〉0. 05）. Cardioversion success rate and first-time cardioversion success rate in B group were statistically significantly higher than those in A group（ P〈0. 05）,while no statistically significant differences of incidence of adverse reactions was found during the treatment（ P〉0. 05）. Conclusion Valsalva maneuver can effectively improve the cardioversion success rate in patients with paroxysmal supraventricular tachycardia,and is relatively safe.

关 键 词：心动过速 室上性 VALSALVA动作 治疗结果 

分 类 号：R541.11[医药卫生—心血管疾病]