不同药物治疗阵发性室上性心动过速的对比观察及护理.pdfVIP

论 著 CHINAF0REIGNMEDlCAL 暖固 不同药物治疗阵发性室上性心动过速的对比观察及护理 刘蓉 (四川省射洪县中医院 四川射洪 629200) 【摘要l目的 对比观察瞢罗帕酮，胺碘酮，倍他乐克治疗阵发性室上性心动过速的临床疗效和安全性并提出护理措施。方法 将 112倒阵发性室上性心动过速患者随机分为普罗帕嗣组，胺碘酮组．倍他乐克组。对比3组患者的转复卒 转复时间和不良反应发生率。 结果 瞢罗帕嗣组转复率较胺碘嗣组高( 0．05)；普罗帕酮组与倍他乐克组转复时间少于胺碘酮组( O．05)；不良反应发生率3组无 显著性差异，但瞢罗帕酮组的不良反应较重。结论 胺碘酮和倍他乐克均能有效，安全地终止阵发性室上性心动过速，同时正确而有 效的护理对提高转复率、降低不良反应发生率有一定作用。 【关键词】阵发性室上性心动过速 瞢罗帕酮 胺碘嗣 倍他乐克 护理 【中图分类号】R54 【文献标识码 】A 【文章编号】1674-0742(2011)00(b)-0013--03 DifferentDrug TreatmentofParoxysmalSupraventricularTachycardia Contrast Observation and Nursing Care LIU Rong ShehongCountyHospitalofSichuanProvince，Sichuan 629200，China [Abstract]Objective Tocomparetheobservationofpropafenone，amiodarone，metoprololtreatmentofparoxysmalsupraventricular tachycardia in thedinicalefficacyand safety ofcaremeasuresputforward．Methods 112patientswith paroxysmalsupraventricular tachycardia were randomly divided into the propafenone group，amiodarone group and metoprololgroup．Compared three groups of patients with card[overs[on rate of card[overs[on of time and the incidence of adverse reactions．Results Propafenone group card[overs[on ratehigherthan theamiodaronegroup (P0．05)；Propafenonegroup andmetoprololgroup card[overs[on lessthan amiodaronegroup (P0．05)lAdversereactionratesthreeTherewasnosignificantdifference，buttheheaviersideeffectspropafenone group．Conclusion Amiodaroneand metoprololwereeffectiveand safe termination ofparoxysmalsupraventricular tachycardia，while the correctand effcetive transfer ofcare toimproverecovery ratesand reducethe incidence ofadverse reactionshave acertain effcet． [Key Words]ParoxysmalsupraventricuIar tachycard