硫酸镁联合胺碘酮治疗室性心动过速的疗效探讨.docVIP

硫酸镁联合胺碘酮治疗室性心动过速的疗效探讨 　　[摘要] 目的 探讨硫酸镁联合胺碘酮治疗室性心动过速的临床疗效。方法 整群选取2014年1月―2015年6月该院收治的室性心动过速患者86例，作为研究对象。采用随机数表法将其分为观察组与对照组，每组患者43例，其中对照组患者单纯接受胺碘酮治疗，观察组在对照组基础上加用硫酸镁治疗，比较两组患者治疗后总有效率及不良反应发生情况。结果 观察组治疗总有效率为93.02%，对照组治疗总有效率为81.40%，观察组治疗总有效率明显高于对照组，P0.05）。结论 采用胺碘酮联合硫酸镁治疗室性心动过速疗效确切，并且患者不良反应发生率较低，应用较为安全可靠，具有临床应用及推广价值。 中国论文网 /6/view-7216879.htm 　　[关键词] 硫酸镁；胺碘酮；室性心动过速；临床疗效 　　[中图分类号] R541.7 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0095-02 　　Curative Effect Observation on Epsom Salt Combined with Amiodarone in Treatment of Ventricular Tachycardia 　　WANG Jiang-tao 　　Department of Internal Medicine， Rongcheng People’s Hospital， Rongcheng， Shandong Province， 264200 China 　　[Abstract] Objective To discuss the clinical curative effect of epsom salt combined with amiodarone in treatment of ventricular tachycardia. Methods 86 cases of patients with ventricular tachycardia treated in our hospital from January 2014 to June 2015 were selected as the research object and randomly divided into the two groups with 43 cases in each， the control group were given only amiodarone treatment， the observation group were given amiodarone combined with epsom salt treatment， the total effective rate and the adverse reactions after treatment of the two groups were compared. Results The total effective rate in the observation group was obviously higher than that in the control group （93.02% vs 81.40%）P0.05）. Conclusion The curative effect of amiodarone combined with epsom salt in treatment of ventricular tachycardia is definite， the incidence rate of adverse reactions in patients is lower， which is safe and reliable and is worthy of application and promotion in clinic. 　　[Key words] Epsom salt； Amiodarone； Ventricular tachycardia； Clinical curative effect 　　室性心动过速（VT）是临床上较为常见的心脏疾病，主要是指发生于希氏束分叉以下的束支、心肌传导纤维及心室肌的快速心律失常，临床主要通过心脏电生理检查进行确诊[1]。临床研究表明，室性心动过速可作为各类心脏疾病死亡的主要原因，临床对于室性心动过速提倡及时有效的治疗恢复心肺功能，胺碘酮是临床治疗室性心律失常的常规药物，但期单独应用疗效并不稳定，受个体性差异影响较大[2]。该研究以联合用药研究角度出发，通过对2014年1月―2015年6月该院收治的室性心动过速患者86例进行试验研究，分析硫酸镁联合