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目的探讨胺碘酮治疗急性心肌梗死后室性心律失常的治疗效果。方法 78例急性心肌梗死后室性心律失常患者,随机分为观察组和对照组,各39例。对照组患者使用利多卡因进行治疗,观察组患者则使用胺碘酮进行治疗,对比两组患者的治疗效果。结果对照组患者中显效7例,有效22例,无效5例,死亡5例,总有效率为74.4%;观察组患者中显效13例,有效23例,无效2例,死亡1例,总有效率为92.3%;观察组患者总有效率高于对照组患者,差异有统计学意义(P<0.05)。结论胺碘酮治疗急性心肌梗死后室性心律失常具有较好的治疗效果,值得临床上使用。
Objective To investigate the therapeutic effect of amiodarone on ventricular arrhythmia after acute myocardial infarction. Methods 78 patients with ventricular arrhythmia after acute myocardial infarction were randomly divided into observation group and control group, 39 cases each. Patients in the control group were treated with lidocaine, while patients in the observation group were treated with amiodarone compared with those in both groups. Results In the control group, 7 cases were markedly effective, 22 cases were effective, 5 cases were ineffective and 5 cases were dead. The total effective rate was 74.4%. In the observation group, 13 cases were markedly effective, 23 cases were effective, 2 cases were ineffective and 1 case died. The efficiency was 92.3%. The total effective rate in observation group was higher than that in control group, the difference was statistically significant (P <0.05). Conclusions Amiodarone has a good therapeutic effect on ventricular arrhythmia after acute myocardial infarction, which is worth to be used clinically.