胺碘酮治疗急诊危重症合并快速心律失常的临床效果.docxVIP

胺碘酮治疗急诊危重症合并快速心律失常的临床效果 　　【摘要】目的：探讨胺碘酮治疗急诊危重症合并快速心律失常的临床效果。方法：将笔者所在医院2017年11月-2018年11月接收的76例急诊危重症合并快速心律失常患者作为研究对象，按照硬币两面法分为治疗组和对照组，给予对照组常规治疗，给予治疗组胺碘酮治疗，对两组不良反应发生率、临床应激指标、心功能指标、临床疗效进行评估。结果：治疗组不良反应发生率低于对照组，差异有统计学意义（p0.05）。治疗组临床应激指标及心功能指标均优于对照组，差异均有统计学意义（p0.05）。治疗组临床治疗总有效率高于对照组，差异有统计学意义（p0.05）。结论：对急诊危重症合并快速心律失常患者采用胺碘酮治疗，既能提高治疗安全性，改善患者临床指标及心功能指标，还能提高临床疗效，值得临床借鉴和推广。 　　【关键词】胺碘酮急诊危重症快速心律失常临床效果不良反应心功能指标 　　doi：10.14033/j.cnki.cfmr.2020.08.058文献标识码b文章编号1674-6805（2020）08-00-03 　　theclinicaleffectofamiodaroneintreatmentofemergencycriticalpatientswithtachyarrhythmia/minjie.//chineseandforeignmedicalresearch，2020，18（8）：-140 　　[abstract]objective：toevaluatetheclinicaleffectofamiodaroneintreatmentofemergencycriticalillnesswithtachyarrhythmia.method：fromnovember2017tonovember2018，76casesofemergencycriticalpatientswithtachyarrhythmiainourhospitalwereselected，andweredividedintothetreatmentgroupandthecontrolgroupaccordingtothecointwosidemethod.thepatientsinthecontrolgroupweregivenroutinetreatment，andthepatientsinthetreatmentgroupweregivenamiodaronetreatment.theincidenceofadversereactions，clinicalstressindex，cardiacfunctionindexandclinicaleffectofthetwogroupswereevaluated.result：theincidenceofadversereactionsinthetreatmentgroupwaslowerthanthatinthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.theclinicalstressindexandcardiacfunctionindexofthetreatmentgroupwerebetterthanthoseofthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.theclinicaleffectiverateofthetreatmentgroupwashigherthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.conclusion：amiodaronetreatmentcannotonlyimprovethesafetyoftreatment，improvetheclinicalindicatorsandcardiacfunctionindicators，butalsoimprovetheclinicalefficiency，whichisworthyofclinicalreferenceandpromotion. 　　[keywords]amiodaroneemergencycriticalillnesstachyarrhythmiaclinicaleffectadversereactionheartfunctionindex 　　first-author’saddress：ezhouhospitaloftraditionalchinesemedicine，ezho