首页|胺碘酮联合美托洛尔治疗快速型心律失常的效果及用药安全性

胺碘酮联合美托洛尔治疗快速型心律失常的效果及用药安全性

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目的 探究胺碘酮联合美托洛尔治疗快速型心律失常的效果及用药安全性.方法 选取2020年3月—2023年3月山东省泰安荣军医院收治的82例快速型心律失常患者为研究对象,按随机数字表法将其分为对照组(n=41)及观察组(n=41).对照组采用胺碘酮治疗,观察组在此基础上采用美托洛尔治疗.比较两组患者的临床疗效、心律失常指标、心率与血压水平及用药安全性.结果 观察组的治疗总有效率为85.37%,高于对照组的65.85%,差异有统计学意义(P<0.05).观察组的心律失常恢复正常时间短于对照组,室性过早搏动总次数少于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的心率、收缩压及舒张压水平均低于对照组,组间差异有统计学意义(P<0.05).两组的不良事件发生率比较,差异无统计学意义(P>0.05).结论 胺碘酮联合美托洛尔治疗快速型心律失常的效果理想,可改善患者心功能,调节其心率及血压,具有较高的用药安全性.
Efficacy and Safety of Amiodarone Combined with Metoprolol in the Treatment of Tachyarrhythmia
Objective To explore the efficacy and safety of amiodarone combined with metoprolol in the treatment of tachyarrhythmia.Methods A total of 82 patients with tachyarrhythmia admitted to Shandong Tai'an Rongjun Hospital from March 2020 to March 2023 were selected as the research objects and were divided into the control group (n=41) and the observation group (n=41) according to random number table method.The control group was treated with amiodarone, and the observation group was treated with metoprolol.The clinical efficacy, arrhythmia indexes, heart rate, blood pressure levels and drug safety were compared between the two groups.Results The total effective rate of the observation group was 85.37%, higher than 65.85%of the control group, the difference was statistically significant (P<0.05).The normal time of arrhythmia in the observation group was shorter than that in the control group, and the total number of premature ventricular beats was less than that in the control group, the differences between the groups were statistically significant (P<0.05).After treatment, the heart rate, systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group, and the differences between the groups were statistically significant (P<0.05).There was no significant difference in the incidence of adverse events between the two groups (P>0.05).Conclusion Amiodarone combined with metoprolol is effective in the treatment of tachyarrhythmia.It can improve patients' cardiac function, regulate their heart rate and blood pressure, and has high drug safety.

TachyarrhythmiaAmiodaroneMetoprololHeart functionDrug safety

杨洪凤

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山东省泰安荣军医院四病区,山东泰安 271000

快速型心律失常 胺碘酮 美托洛尔 心功能 用药安全性

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)