不同救治措施在室上性心动过速院前急救中的效果比较  

Comparison on effect of different treatment measures in prehospital emergency of supraventricular tachycardia

作　　者：姚骞[1] 刘扬[1] YAO Qian;LIU Yang(Department of Emergency,Beijing Emergency Center,Beijing100031,China)

机构地区：[1]北京急救中心急救科,北京100031

出　　处：《中国医药导报》2021年第16期95-98,共4页China Medical Herald

摘　　要：目的比较不同救治措施在室上性心动过速(SVT)院前急救中的应用效果。方法回顾性分析北京急救中心急救科2019年3月—2020年3月院前急救的150例SVT患者资料,根据其不同救治措施分为传统物理组(39例)、药物干预组(56例)、同步电复律组(14例)、改良Valsalva动作组(41例)。比较四组院前急救心脏复律效果及不良反应发生率。结果药物干预组、同步电复律组、改良Valsalva动作组1次复律成功率与总复律成功率均高于传统物理组,差异均有统计学意义(均P<0.008);药物干预组、同步电复律组、改良Valsalva动作组1次复律成功率与总复律成功率两两比较,差异均无统计学意义(P>0.008),传统物理组、改良Valsalva动作组不良反应总发生率低于药物干预组、同步电复律组,差异有统计学意义(P<0.008);改良Valsalva动作组、传统物理组不良反应总发生率比较,差异无统计学意义(P>0.008);药物干预组、同步电复律组不良反应总发生率比较,差异无统计学意义(P>0.008)。结论与传统物理干预比较,SVT院前急救中应用药物干预、同步电复律、改良Valsalva动作心脏复律效果更好,且相比药物干预、同步电复律,改良Valsalva动作安全性更高。Objective To compare the application effect of different treatment measures in prehospital emergency of supraventricular tachycardia(SVT).Methods The data of 150 patients with SVT who received prehospital emergency in the Department of Emergency,Beijing Emergency Center from March 2019 to March 2020 were retrospectively analyzed,according to different treatment measures,they were divided into traditional physical group(39 cases),drug intervention group(56 cases),synchronous cardioversion group(14 cases)and modified Valsalva maneuver group(14 cases).The effect of cardioversion in prehospital emergency and the incidence of adverse reactions were compared among the four groups.Results The success rates of one-time cardioversion and total cardioversion in drug intervention group,synchronous cardioversion group and modified Valsalva maneuver group were higher than those in traditional physical group,and the differences were statistically all significant(all P<0.008);there was no statistical significant difference in the success rate of one-time cardioversion and the total cardioversion among drug intervention group,synchronous cardioversion group and modified Valsalva maneuver group(P>0.008);the total incidence of adverse reactions in traditional physical group and modified Valsalva maneuver group were lower than those in drug intervention group and synchronous cardioversion group,and the differences were statistically significant(P<0.008);there was no statistical significant difference in the total incidence of adverse reactions between the modified Valsalva group and the traditional physical group(P>0.008).Conclusion Compared with the traditional physical intervention,the effects of drug intervention,synchronous cardioversion and modified Valsalva maneuver cardioversion in prehospital emergency of SVT are better,and compared with drug intervention and synchronous cardioversion,the modified Valsalva maneuver has higher safety.

关 键 词：室上性心动过速 院前急救 普罗帕酮 同步电复律 改良Valsalva动作 

分 类 号：R459.7[医药卫生—急诊医学]