胺碘酮治疗老年冠心病心律不齐的临床分析 马爱玲.docVIP

精品论文 参考文献 胺碘酮治疗老年冠心病心律不齐的临床分析 马爱玲 马爱玲 侯仰民 　　【摘要】 目的 对老年冠心病出现心律不齐使用胺碘酮治疗的临床治疗效果进行探讨研究。方法 选取2014年5月-2015年4月入住我院的老年冠心病患者诊断为心律不齐140例，随机平均分为A、B两组，A组为观察组，患者70例，B组为对照组，患者70例。A组（观察组）病人口服胺碘酮治疗心律不齐，B组（对照组）病人口服盐酸普罗帕酮进行治疗。观察两组患者治疗后的临床效果、不良反应发生率以及出现并发症的情况。结果 与对照组相比较，观察组病人的总有效率明显升高，差异显著，具有统计学意义(P＜0.05)；与对照组相比较，观察组病人出现不良反应的概率明显下降，差异明显，有统计学意义(P＜0.05)；与对照组相比较，观察组病人出现并发症（心源性猝死、心力衰竭、心源性休克、恶性心律不齐等）的几率明显降低，差异明显，具有统计学意义(P＜0.05)。结论 针对老年冠心病病人出现心律不齐使用胺碘酮治疗，临床治疗效果良好，不良反应及并发症少，安全性高，值得临床推荐使用。 　　【关键词】 老年冠心病； 胺碘酮； 临床疗效； 并发症； 不良反应 　　Clinical analysis of amiodarone in the treatment of senile coronary heart disease arrhythmia 　　【Abstract】 Objective Clinical effect of the treatment of arrhythmia with amiodarone therapy in coronary heart disease study there. Methods Selected 2014 may 2015 April admitted to our hospital in elderly patients with coronary heart disease diagnosis of arrhythmia in 140 cases randomly divided into two groups (a, b), a group for the observation group, 70 cases of patients, group B as control group, 70 cases of patients with. A group (observation group) patients with oral administration of amiodarone in the treatment of arrhythmia, and the group B (control group) in patients with oral propafenone hydrochloride for treatment.The clinical effect, incidence of adverse reactions and complications of the two groups were observed. Results Compared with the control group, observation group patients total efficiency was significantly increased, significant differences, with statistical significance (P lt; 0.05); compared with the control group, observation group, the patients had significantly decreased the probability of adverse reactions, significant difference, was statistically significant (P lt; 0.05); compared with the control group, observation group, the patients had complications (cardiogenic sudden death, heart failure, cardiac shock, malignant arrhythmia, etc.) significantly reduced risk of, significant differences, with statistical significance (P lt; 0.