胺碘酮与利多卡因治疗急性心肌梗死并发室性心律失常疗效分析.docVIP

胺碘酮与利多卡因治疗急性心肌梗死并发室性心律失常疗效分析 　　【摘要】 目的：比较分析急性心肌梗死（AMI）患者并发室性心律失常应用胺碘酮与利多卡因的疗效，并记录相应的不良反应。方法：选取2014年1月-2016年1月于本院接受治疗的AMI并发室性心律失常患者80例作为研究对象，随机分为观察组和对照组，每组40例。观察组患者给予胺碘酮治疗，对照组患者给予利多卡因治疗，比较两组的治疗效果、室颤发生率、病死率及不良反应总发生率。结果：观察组治疗总有效率为87.5%，高于对照组的72.5%，比较差异有统计学意义（P0.05）；观察组室颤发生率、病死率及不良反应总发生率均低于对照组，比较差异均有统计学意义（P0.05）。结论：用胺碘酮治疗AMI并发室性心律失常患者比使用利多卡因疗效好，不良反应率低，能有效改善患者预后，值得临床推广应用。 　　【关键词】 胺碘酮； 利多卡因； 急性心肌梗死； 室性心律失常 　　Curative Effect Analysis on Amiodarone and Lidocaine in Treatment with Acute Myocardial Infarction Complicated Ventricular Arrhythmia/HUANG Jing-yun，DAI Xiao-yan，ZENG Xiao-bo.//Medical Innovation of China，2016，13（22）：098-101 　　【Abstract】 Objective：To compare and analyze the efficacy of Amiodarone and Lidocaine in the treatment of patients with acute myocardial infarction complicated ventricular arrhythmia，and record the corresponding adverse reactions.Method：From January 2014 to January 2016，80 cases of acute myocardial infarction complicated with ventricular arrhythmia in our hospital were selected as the research objects，they were randomly divided into the observation group and the control group，each group had 40 cases.The observation group was given Amiodarone treatment and control group was given Lidocaine treatment，the treatment effect，incidence of ventricular fibrillation，case fatality rate and incidence of adverse reactions of two groups were compared.Result：The total effective rate of the observation group was 87.5%，which was higher than 72.5% of the control group，the difference was statistically significant（P0.05）.The incidence of ventricular fibrillation，case fatality rate and incidence of adverse reactions of the observation group were lower than the control group，the differences were statistically significant（P0.05）.Conclusion：Use of Amiodarone in the treatment of acute myocardial infarction complicated with ventricular arrhythmia patients has good effect and low adverse reaction rate，it can effectively improve the prognosis of patients，worthy of clin