盐酸胺碘酮注射液治疗急性心肌梗死后室性心律失常的临床疗效观察.docxVIP

盐酸胺碘酮注射液治疗急性心肌梗死后室性心律失常的临床疗效观察 陕西省凤翔县医院心内科陕西721400 [摘要]目的：探讨盐酸胺碘酮治疗急性心肌梗死后室性心律失常的临床疗效。方 法：筛选2015年1月至2016年7月我院收治的心肌梗死后室性心律失常患者 80例，作为研究对象。采用随机数表法将所有患者分为观察组与对照组，每组 患者40例，其屮对照组患者采用常规盐酸利多卡因治疗，观察组患者则应用胺 碘酮治疗，比较两组患者治疗效果以及安全性。结果：观察组患者治疗后总有效 率明显高于对照组，观察组发生3例心脏不良事件，1例不良反应事件，其不良 反应发生率明显低于对照组，观察组室性心律失常发生情况优于对照组， Plt;0.05,差异具有统计学意义。结论：盐酸胺碘酮治疗急性心肌梗死后室性心 律失常疗效显著，较常规药物盐酸利多卡因具有明显优势，并且药物应用安全性 较高，具有临床应用及推广价值。 关键词：盐酸胺碘酮；急性心肌梗死；室性心律失常；临床疗效 【中图分类号】R587【文献标识码】A【文章编号】1001-5213(2016)09-0321-01 [abstract] objective: to study the amiodarone hydrochloride in treatment of acute myocardial in fa ret io n after the clin ical efficacy of ve ntricular arrhythmias. Methods: between January 2015 and July 2015, our hospital 80 cases of patients with ventricular arrhythmia after myocardial infarction, as the research object? Using random indicator method all patients were divided into observation group and control group, 40 cases of patients in each group, the control group were treated by routine lidocaine hydrochloride treatment, observation group of patients applied amiodarone treatment, compared two groups of patients with therapeutic effect and safety. Results: the total effective rate after treatment in patients with observation group was obviously higher than that of control group, the observation group, 3 cases of adverse cardiac events occurred in 1 case, adverse events, the incidenee of adverse reactions obviously lower than the control group and observation group of ventricular arrhythmia occurrenee is better than that of control group, P lt; 0.05, the d iff ere nee is statistically sign ifica nt. Conclusion: amiodar one hydrochloride ventricular arrhythmia after acute myocardial infarction with obvious therapeutic effect, the conventional drugs lidocaine hydrochloride has obvious advantages, and drug application security is higher, clinical application and popularization value. Key words: amiodarone hydrochloride; Acute myocardial infarction; Ventricular arrhythmia. Clinical curative eff