胺碘酮与利多卡因治疗急性心肌梗死并室性心律失常的疗效对比分析.docVIP

精品论文 参考文献 胺碘酮与利多卡因治疗急性心肌梗死并室性心律失常的疗效对比分析 王鲁奇 　　（河北大学附属医院心内科 河北保定 071000） 　　 　　【摘要】目的：研究胺碘酮与利多卡因治疗急性心肌梗死并室性心律失常的疗效。方法：试验对象：我院近两年收治的83例急性心肌梗死并室性心律失常患者。患者分组方法：随机数字表法。83例患者分为L组和A组两个组别。L组以利多卡因治疗；A组以胺碘酮治疗。观察指标：（1）疾病治疗有效率；（2）不良反应发生率。结果：（1）A组相比于L组疾病治疗有效率更高，chi;2检验统计学差异显著，P＜0.05；（2）A组相比于L组不良反应发生率更低，chi;2检验统计学差异显著，P＜0.05。结论：胺碘酮与利多卡因治疗急性心肌梗死并室性心律失常均有一定疗效，但胺碘酮在有效性和安全性方面优势更明显，值得推广。 　　【关键词】胺碘酮；利多卡因；急性心肌梗死；室性心律失常 　　【中图分类号】R453 【文献标识码】A 【文章编号】1007-8231（2015）19-0057-02 　　 Amiodarone and lidocaine treatment the curative effect of acute myocardial infarction (mi) and ventricular arrhythmia analysis 　　【Abstract】Objective To study the amiodarone and lidocaine treatment the curative effect of acute myocardial infarction (mi) and ventricular arrhythmia. Methods The test object: of 83 patients admitted in our hospital in the past two years in patients with acute myocardial infarction (mi) and ventricular arrhythmia. Grouping method: patients with random number table method. 83 patients were divided into L groups and A set of two groups. L group and lidocaine treatment; A group was treated with amiodarone. Observation: (1) The treatment of illness, efficient; (2) the incidence of adverse reactions. Results (1) In group A than in group L higher treatment efficiency, chi;2 test statistically significant, Plt;0.05; (2) In group A than in group L A lower incidence of adverse reactions, chi;2 test statistically significant, Plt;0.05. Conclusion Amiodarone and lidocaine treatment of acute myocardial infarction (mi) and ventricular arrhythmia all have certain effect, but amiodarone advantage is more obvious in terms of effectiveness and safety, worthy of promotion. 　　【Key words】Amiodarone; Lidocaine; Acute myocardial infarction; Ventricular arrhythmias 　　急性心肌梗死并室性心律失常为临床常见疾病，传统多以利多卡因进行治疗，但效果和安全性欠佳[1]。本研究对胺碘酮与利多卡因治疗急性心肌梗死并室性心律失常的疗效进行分析，报告如下。 　　1.资料与方法 　　1.1 一般资料 　　试验对象：我院近两年收治的83例急性心肌梗死并室性心律失常患者。患者分组方法：随机数字表法。83例患者分为L组和A组两个组别。所有患者均符合急性心肌梗死诊断标准，均出现室性心律失