黄宇理, 李妙男, 陈耀, 孙强, 高大胜. 胺碘酮治疗老年急性心肌梗死并室性心律失常的临床分析[J]. 蚌埠医科大学学报, 2014, 38(6): 721-723.
    引用本文: 黄宇理, 李妙男, 陈耀, 孙强, 高大胜. 胺碘酮治疗老年急性心肌梗死并室性心律失常的临床分析[J]. 蚌埠医科大学学报, 2014, 38(6): 721-723.
    HUANG Yu-li, Li Miao-nan, CHEN Yao, SUN Qiang, GAO Da-sheng. The clinical analysis of amiodarone in the treatment of acute myocardial infarction elderly patients complicated with ventricular arrhythmia[J]. Journal of Bengbu Medical University, 2014, 38(6): 721-723.
    Citation: HUANG Yu-li, Li Miao-nan, CHEN Yao, SUN Qiang, GAO Da-sheng. The clinical analysis of amiodarone in the treatment of acute myocardial infarction elderly patients complicated with ventricular arrhythmia[J]. Journal of Bengbu Medical University, 2014, 38(6): 721-723.

    胺碘酮治疗老年急性心肌梗死并室性心律失常的临床分析

    The clinical analysis of amiodarone in the treatment of acute myocardial infarction elderly patients complicated with ventricular arrhythmia

    • 摘要: 目的:探讨静脉应用胺碘酮治疗老年急性心肌梗死并室性心律失常的临床疗效及安全性。方法:选择110例急性心肌梗死并室性心律失常的老年患者,对照组(54例)用利多卡因50~100 mg静脉注射,后1~4 mg/min静脉维持;治疗组(56例)采用胺碘酮150~300 mg静脉注射,然后0.5~1.5 mg/min静脉维持;治疗24 h后观察2组24 h内的疗效、室性心律失常次数、PR间期、QRS波时限、校正的QT间期及不良反应。结果:治疗组总有效率94.64%高于对照组的83.33%(PPPP>0.05)。结论:静脉应用胺碘酮治疗老年急性心肌梗死并室性心律失常疗效肯定,未增加不良反应,可作为治疗老年急性心肌梗死并室性心律失常的首选药物。

       

      Abstract: Objective:To investigate the curative effects and safety of amiodarone in the treatment of acute myocardial infarction elderly patients complicated with ventricular arrhythmia.Methods:One hundred and ten acute myocardial infarction elderly patients complicated with ventricular arrhythmia were divided into treatment group and control group.The treatment group(56 cases)and control group(54 cases) were treated with 150 to 300 mg of amiodarone by intravenous injection,then intravenous drip with 0.5 to 1.5 mg/min and 50 to 100 mg of lidocaine by intravenous injection,then intravenous drip with 1 to 4 mg/min,respectively.The number of ventricular arrhythmia,PR interval,QRS wave time,correct QT and adverse reactions in two groups were observed at 24 hours after treatment.Results:The total effective rate of the treatment group(94.64%) was higher than that of the control group(83.33%)(PPP>0.05).Conclusions:The effects of amiodarone in the treatment of acute myocardial infarction elderly patients complicated with ventricular arrhythmia are good,and no obvious added side effects are found.Amiodarone can be used as a preferred drug in treating acute myocardial infarction elderly patients complicated with ventricular arrhythmia.

       

    /

    返回文章
    返回