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胺碘酮联合美托洛尔静脉注射治疗快速心律失常的临床观察

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【作者】 李硕贤

【机构】 湖南省涟源市杨市镇中心卫生院

【摘要】 目的观察评价胺碘酮联合美托洛尔治疗快速心律失常的疗效及安全性。方法将90例快速心率失常的患者随机分为对照组和治疗组各45例,分别使用胺碘酮和胺碘酮联合美托洛尔联合治疗,比较两组治疗心率失常的疗效及不良反应。结果治疗组的有效率及心率转复率均明显高于对照组,两组比较差异有统计学意义(P<0.05);且治疗组的起效时间短于对照组([0.4±0.2)h比(4.6±0.5)h,P<0.05];治疗组治疗前后收缩压、舒张压、心率下降幅度均较对照组明显;两组均未出现严重不良反应。结论胺碘酮联合美托洛尔静脉注射治疗快速心律失常快速且安全、有效。

【Abstract】 Objective To observe the acute efficacy and safety of intravenous amiodarone combined with metoprolol in the treatment of tachycardia.Methods Ninety patients with tachycardia were randomly divided into control group and treatment group.The therapeutic effect and adverse effect were compared between the two groups.Results The rates of sinus rhythm recovery and efficacy treated by amiodarone combined with metoprolol were significantly higher than those treated by amiodarone(P<0.05).The effecting time of treatment group was significantly shorter than that of the control group[(0.4±0.2)h vs(4.6±0.5)h,P<0.05].The blood pressure level and heart rates both decreased in treatment group and control group.But treatment group were significantly than control group.There was no obvious adverse effect in two groups.Conclusion Intravenous amiodarone combined with metoprolol is effective and safe in the treatment of tachycardia.

【关键词】 胺碘酮; 美托洛尔; 快速心律失常;

【Key words】 Amiodarone; Metoprolol; Tachycardia;

【分类号】R541.7;R452;R971.94;

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