联用美托洛尔和胺碘酮治疗冠心病室性心律失常的效果评价  

Efficacy of metoprolol combined with amiodarone in the treatment of ventricular arrhythmia in patients with coronary heart disease

作　　者：叶芸[1] 田龙海[1] YE Yun;TIAN Long-hai(Department of Cardiology,Guizhou People＇s Hospital,Guizhou Guiyang 550002,China)

机构地区：[1]贵州省人民医院心内科,贵州贵阳550002

出　　处：《中西医结合心血管病电子杂志》2018年第32期7-8,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨分析冠心病室性心律失常患者,包括室性早搏、室性心动过速等,使用美托洛尔联合胺碘酮治疗的临床效果。方法选择我院所接收的患冠心病室性心律失常者94例,按治疗时间分组,对照组单纯使用美托洛尔治疗,研究组则给予胺碘酮联合美托洛尔法进行治疗,对比两种方法在患者疗效、血压、心率及心律失常改善方面的临床效果。结果治疗后研究组的收缩压、舒张压水平、心率及室性早搏、室性心动过速发作次数均低于对照组,差异有统计学意义(P<0.05);对比两组的疗效,研究组的治疗总有效率更高于对照组;差异有统计学意义(P<0.05)。结论用胺碘酮联合美托洛尔方法进行冠心病室性心律失常治疗,可改善心率与血压水平,提高室颤阈值,具有良好的治疗效果提升作用。Objective To investigate and analyze the clinical effect of metoprolol combined with amiodarone on ventricular arrhythmia in patients with coronary heart disease, including ventricular premature beats and ventricular tachycardia.Methods 94 patients with ventricular arrhythmia were divided into two groups according to the treatment time. The control group was treated with metoprolol only,while the study group was treated with amiodarone combined with metoprolol.Results After treatment,systolic blood pressure, diastolic blood pressure,heart rate,ventricular premature beats and ventricular tachycardia attacks in the study group were lower than those in the control group（P〈0.05）, and the total effective rate was higher in the study group than that in the control group（P〈0.05）.Conclusion Amiodarone combined with metoprolol in the treatment of ventricular arrhythmias in coronary heart disease can improve the heart rate and blood pressure levels, increase the threshold of ventricular fibrillation, and has a good therapeutic effect.

关 键 词：美托洛尔 胺碘酮 冠心病 心律失常 

分 类 号：R541[医药卫生—心血管疾病]