首页|心力衰竭合并心律失常患者治疗中胺碘酮联合厄贝沙坦治疗的效果分析

心力衰竭合并心律失常患者治疗中胺碘酮联合厄贝沙坦治疗的效果分析

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目的 探究在心力衰竭合并心律失常患者治疗中,胺碘酮联合厄贝沙坦应用的效果.方法 方便选取2022年1月—2023年6月于山东省菏泽市第六人民医院收治的82例心力衰竭合并心律失常患者为研究对象,采用随机表法分为观察组与对照组,各41例.对照组给予胺碘酮治疗,观察组在对照组的基础上加用厄贝沙坦治疗,对比两组患者心功能、6 min步行距离试验(6-Minute Walking Text,6MWT)、疗效及不良反应发生情况.结果 治疗前,两组心功能、6MWT比较,差异无统计学意义(P均>0.05);治疗后,观察组心功能每搏心输出量(Stroke Volume,SV)、左室射血分数(Left Ventricular Eject Fraction,LVEF)均高于对照组,左室后壁厚度(Left Ventricular Posterior Wall Thickness,LVWP)、左室收缩末期内径(Left Ventricular End Systolic Diam-eter,LVESD)均小于对照组,差异有统计学意义(P均<0.05);观察组6MWT水平优于对照组,差异有统计学意义(P<0.05);观察组有效率(97.56%)高于对照组(80.49%),差异有统计学意义(χ2=6.116,P=0.013);观察组不良反应发生率(4.88%)低于对照组(21.95%),差异有统计学意义(χ2=5.145,P=0.023).结论 在心力衰竭与心律失常合并发生的患者治疗中,胺碘酮联合厄贝沙坦治疗可取得显著疗效,改善患者心功能水平,调节患者各项功能的同时降低患者不良反应发生率.
Analysis of the Effect of Amiodarone Combined with Irbesartan Therapy in the Treatment of Patients with Heart Failure Combined with Arrhyth-mia
Objective To investigate the effect of amiodarone combined with irbesartan application in the treatment of patients with heart failure combined with arrhythmia.Methods A total of 82 patients with heart failure combined with arrhythmia admitted to the Shandong Heze Sixth People's Hospital from January 2022 to June 2023 were conveniently selected as the study objects,and they were divided into observation group and control group by random table method,with 41 cases in each group.The control group was treated with amiodarone,and the observation group was treated with irbesartan on the basis of the control group.The cardiac function,6-Minute Walking Text test(6MWT),efficacy and occurrence of adverse reactions were compared between the two groups.Results Before treatment,there was no significant difference in cardiac function and 6MWT between the two groups(both P>0.05).After treatment,Stroke Volume(SV)and Left Ventricular Eject Fraction(LVEF)in the observation group were higher than those in the con-trol group,Left Ventricular Posterior Wall Thickness(LVWP)and Left Ventricular End Systolic Diameter(LVESD)were lower than those of control group,and the differences were statistically significant(all P<0.05).The 6MWT level of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The effective rate of observation group(97.56%)was higher than that of control group(80.49%),and the differ-ence was statistically significant(χ2=6.116,P=0.013).The incidence of adverse reactions in observation group(4.88%)was lower than that in control group(21.95%),and the difference was statistically significant(χ2=5.145,P= 0.023).Conclusion In the treatment of patients with heart failure and arrhythmia,amiodarone combined with irbesar-tan treatment can achieve significant efficacy,promote the improvement of the level of cardiac function of the patients,regulate the functions of the patients at the same time to reduce the incidence of adverse reactions of the patients.

Heart failureAmiodaroneArrhythmiaIrbesartanCardiac functionAdverse reaction

杨莉

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山东省菏泽市第六人民医院重症医学科,山东菏泽 274000

心力衰竭 胺碘酮 心律失常 厄贝沙坦 心功能 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(5)
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