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高压氧辅助治疗不稳定心绞痛的疗效分析

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目的 分析高压氧辅助治疗不稳定心绞痛(unstable angina pectoris,UA)的价值.方法 方便选取2022年2月—2023年8月南宁市第二人民医院收治的62例UA患者为研究对象,根据不同治疗方法分为两组,对照组(31例)采用常规治疗,观察组(31例)实施高压氧辅助治疗.分析治疗前后心率变异性、心律失常类型、ST-T总时间、Q-T间期变化.结果 观察组窦性心搏间标准差、RR间期的平均值标准差、相邻RR间期差值的均方根、全部窦性心搏中相邻两个窦性心搏之间的差值>50 ms的心搏数占全部窦性心搏的百分比、三角指数均高于对照组,差异均有统计学意义(P均<0.05).观察组ST-T总时间(126.25±66.82)min、Q-T间期(40.02±5.82)ms均短于对照组的(501.48±142.82)min、(43.52±4.94)ms,差异均有统计学意义(t=13.249,2.553;P均<0.05).观察组的心房颤动、频发房性早搏、房早成对、频发室性早搏、停搏次数发生率均低于对照组,差异有统计学意义(P均<0.05).结论 高压氧辅助治疗UA疗效理想,可改善心肌缺血、心率变异等情况,医师可在治疗前后根据心率变异性评价治疗效果、旨在掌握实际病情并对治疗方案进行调整.
Analysis of the Therapeutic Effect of Hyperbaric Oxygen Assisted Treat-ment on Unstable Angina Pectoris
Objective To analyze the value of hyperbaric oxygen assisted treatment for unstable angina(UA).Methods A total of 62 patients with UA admitted to the Nanning Second People's Hospital from February 2022 to August 2023 were conveniently selected as the research objects and divided into two groups according to different treatment meth-ods.The control group(31 cases)was treated with conventional therapy,and the observation group(31 cases)was treated with hyperbaric oxygen adjuvant therapy.The changes of heart rate variability,arrhythmia type,ST-T total time and Q-T interval before and after treatment were analyzed.Results The standard deviation of normal number of intervals,the standard deviation of the average RR interval,the root mean square of the difference between adjacent RR intervals,the percentage of the number of adjacent NN differences>50 ms to the total number of sinus beats and the triangle index in the observation group were higher than those in the control group,the differences were statisti-cally significant(all P<0.05).The total ST-T time(126.25±66.82)min and Q-T interval(40.02±5.82)ms in the obser-vation group were shorter than those in the control group(501.48±142.82)min and(43.52±4.94)ms,the differences were statistically significant(t=13.249,2.553;both P<0.05).The incidence of atrial fibrillation,frequent atrial prema-ture beats,paired atrial premature beats,frequent ventricular premature beats and arrests in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Hyperbaric oxygen assisted treatment for UA has an ideal therapeutic effect,which can improve myocardial ischemia,heart rate variability,and other conditions.Physicians can evaluate the treatment effect based on heart rate variability before and after treatment,aiming to grasp the actual condition and adjust the treatment plan.

Hyperbaric oxygenUnstable angina pectorisArrhythmiasMyocardial ischemia

农美虹、唐婉燕、袁杰林、陈美兰、罗峰、林晓峰

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南宁市第二人民医院心电图室,广西 南宁 530031

南宁市第二人民医院心血管内科,广西 南宁 530031

高压氧 不稳定心绞痛 心律失常 心肌缺血

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(34)