胺碘酮治疗老年冠心病心律不齐临床分析付强.docxVIP

胺碘酮治疗老年冠心病心律不齐临床分析付强 付强 四川省简阳市第二人民医院四川简阳641421 【摘 要】目的：探讨胺碘酮治疗老年冠心病心律不齐的临床效果。方法：在 2014年2月至2016年1月选取所在科室70例老年冠心病心律不齐患者，随机 分为对照组(35例)与实验组(35例)，对照组患者采用慢心律药物治疗，实验 组患者采用胺碘酮治疗，对两组患者的治疗效果进行对比分析。结果：对照组患 者的治疗总有效率(77.1%)明显低于实验组的(91.4%),对比差异显著(Plt;0.05), 具有统计学意义。实验组患者出现不良反应率为5.7% (2/35),表现为恶心；对 照组患者出现不良反应率为25.7% (9/35),其中恶心4例，窦性心动过缓5例， 对比差异显著(Pt;0.05),具有统计学意义。两组患者的不良反应均通过适当 的处理后消除。结论：在老年冠心病心律不齐的患者中，采用胺碘酮治疗可以显 著提高治疗效果，不良反应少，能够有效缓解患者的临床症状，显著提高患者的 牛活质量，具有较高的临床应用价值。 【关键词】胺碘酮；治疗；老年冠心病；心律不齐；临床分析 Amiodarone elderly cor on ary heart arrhythmia clin ical an alysis Fu Qiang Second Peoples Hospital of Sichuan Province Jianyang Jianyang in Sichuan 641, 421 [Abstract] Objective： To investigate the clinical effect of amiodarone in the treatment of senile coronary heart disease arrhythmia.Methods： from February 2014 to January 2016 where the Department selected 70 cases of senile coronary heart disease patients with arrhythmia, were randomly divided into control group (35 cases) and experimental group (35 cases), the control group was treated with mexiletine treatment, experimental group were treated with amiodarone.A comparative analysis of two groups of patients.Results： in the control group the total efficiency (77.1%) was significantly lower than the experimental group (91.4%), significant differences (Plt;0.05), was statistically sign讦icant.The experimental group patients with adverse reaction rate was 5.7% (2/35), characterized by nausea； control patients with adverse reaction rate was 25.7% (9/35), including 4 cases of sick sinus bradycardia in 5 cases, sign讦icant differences (Plt;0.05)，with statistical significance.The adverse reactions of two groups of patients were treated by After eliminati ng.Con clusi on： in elderly patie nts with cor on ary heart disease and arrhythmia of patients with amiodarone therapy can significantly improve the therapeutic effect, less adverse reaction, can relieve the patients clinical symptoms, significantly improve the patients quality of life, has a