胺碘酮治疗老年人心肌梗死后室性心律失常临床分析.docVIP

胺碘酮治疗老年人心肌梗死后室性心律失常临床分析 　　【摘要】 目的 对胺碘酮在老年人心肌梗死后室性心律失常中的临床治疗效果予以探讨。方法 80例心肌梗死后室性心律失常患者， 随机分为对照组和研究组， 各40例。对照组患者采用利多卡因进行治疗， 研究组采用胺碘酮进行治疗， 比较治疗后两组患者24 h内室性心律失常发作次数、QRS波时间、心率等变化情况和治疗效果。结果 治疗后， 研究组患者显效35例， 有效3例， 无效2例， 总有效率为95%；对照组患者显效26例， 有效4例， 无效10例， 总有效率为75%。研究组总有效率高于对照组， 差异有统计学意义（P0.05）。研究组室性心律失常发作次数、QRS波时间及心率均优于对照组， 差异有统计学意义（P0.05）。结论 胺碘酮可以有效治疗心肌梗死后室性心律失常， 改善心功能指标， 提高患者生活质量， 是临床上治疗心肌梗死后室性心律失常的理想药物， 值得在临床上大力推广使用。 　　【关键词】 胺碘酮；心肌梗死；室性心律失常；临床分析 　　DOI：10.14163/j.cnki.11-5547/r.2017.09.044 　　Clinical analysis of amiodarone in the treatment of elderly ventricular arrhythmia after myocardial infarction LIU Xiao-yan. Fujian Provincial Hospital， Fuzhou 350002， China 　　【Abstract】 Objective To explore the clinical treatment effect of amiodarone in the treatment of elderly ventricular arrhythmia after myocardial infarction. Methods A total of 80 elderly patients with ventricular arrhythmia after myocardial infarction were randomly divided into control group and research group， with 40 cases in each group. The control group received lidocaine for treatment， and the research group received amiodarone for treatment. Comparison were made on onset frequency of ventricular arrhythmia within 24 h， QRS wave duration， heart rate changes and treatment effect after treatment in two groups. Results After treatment， the research group had 35 excellent cases， 3 effective cases and 2 ineffective cases， with total effective rate as 95%， while the control group had 26 excellent cases， 4 effective cases and 10 ineffective cases， with total effective rate as 75%. The research group had higher total effective rate than the control group， and the difference had statistical significance （P0.05）. The research group had better onset frequency of ventricular arrhythmia， QRS wave duration and heart rate than the control group， and the difference had statistical significance （P0.05）. Conclusion Amiodarone is effective in the treatment of ventricular arrhythmia after myocardial infarction， which can i