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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2017; 1: (1) 2; DOI:10.12208/j.ijcr.20170002 .

The effect of amiodarone on patients with acute myocardial infarction complicated with malignant ventricular arrhythmia
急性心肌梗死伴恶性室性心律失常患者急诊使用胺碘酮的效果

作者: 张海良, 王西辉, 贺鹏辉, 解飞, 丁鹏 *

西安医学院第二附属医院

*通讯作者: 丁鹏,单位:西安医学院第二附属医院;

收录截图(CNKI-Scholar)

引用本文: 张海良, 王西辉, 贺鹏辉, 解飞, 丁鹏 急性心肌梗死伴恶性室性心律失常患者急诊使用胺碘酮的效果[J]. 国际临床研究杂志, 2017; 1: (1) : -.
Published: 2017/8/15 0:00:00

摘要

[摘要]目的:探讨急性心肌梗死伴恶性室性心律失常患者急诊使用胺碘酮的临床效果。方法:选取108例急性心肌梗死伴恶性室性心律失常患者为研究对象,随机分为试验组及对照组,试验组予以胺碘酮治疗,对照组予以利多卡因治疗。观察左室射血分数、心电图变化,不良反应等指标。结果:试验组临床总有效率92.59%,高于对照组61.11%,且差异有统计学意义(P<0.05)。试验组左室射血分数、心律失常复发次数、QRS波时限、PR间期变化均优于对照组,且差异有统计学差异(P<0.05)。结论:胺碘酮用于治疗急性心肌梗死伴恶性室性心律失常患者疗效显著,不良反应较少。

关键词: [关键词]急性心肌梗死;室性心律失常;胺碘酮;急诊医学

Abstract

[Abstract]Objective:To investigate the clinical effect of Amiodarone in ventricular arrhythmia patients with acute myocardial infarction. Method:108 ventricular arrhythmia patients with acute myocardial infarction were enrolled and randomly subdivided into 2 groups: the control group was given lidocaine and the experimental group was given Amiodarone. Observing index included left ventricular ejection fraction (LVEF), electrocardiogram(ECG) and side effects.
Results:Total effective rate is higher in the experimental group (92.59%) than the control group(61.11%). In addition, Amiodarone showed greater effect in LVEF, the number of arrhythmia, QRS duration and PR.
Conclusion  s: In acute myocardial infarction, Amiodarone is effective and safe.

Key words: [Key Words]Myocardial infarction; ventricular arrhythmia; Amiodarone

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