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胺碘酮与普罗帕酮对快速心律失常患者治疗效果比较

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目的:对比胺碘酮与普罗帕酮对快速心律失常患者的治疗效果。方法:选取 2021年 12月—2023年 12月临沂市中心医院急诊科收治的102例快速心律失常患者为研究对象,按随机数字表法将其分为试验组和对照组,各51例。对照组采用普罗帕酮治疗,试验组采用胺碘酮治疗。比较两组患者的治疗效果、心功能指标及不良反应发生情况。结果:试验组治疗总有效率为 92。16%,高于对照组的 76。47%,差异有统计学意义(P<0。05)。治疗后,试验组左心室射血分数高于对照组,心排血量、舒张晚期峰值(A峰)流速均快于对照组、舒张晚期峰值(E峰)流速慢于对照组,E/A水平低于对照组,差异均有统计学意义(P<0。05)。试验组不良反应发生率为3。92%,低于对照组的15。69%,差异有统计学意义(P<0。05)。结论:相比于普罗帕酮,胺碘酮对快速心律失常患者的治疗效果更显著,能够有效改善患者心功能指标,控制患者病情,且临床不良反应较少。
Comparison of Therapeutic Efficacy of Amiodarone and Propafenone in Patients with Tachyarrhythmia
Objective:To compare the therapeutic effect of Amiodarone and Propafenone on patients with tachyarrhythmia.Methods:A total of 102 tachyarrhythmia patients admitted to the Department of Emergency in Linyi Central Hospital from December 2021 to December 2023 were selected as the study objects,and were divided into an experimental group and a control group according to random number table method,with 51 cases in each group.The control group was treated with Propafenone and the experimental group was treated with Amiodarone.The therapeutic effect,cardiac function indexes and the occurrence of adverse reactions were compared between the two groups.Results:The total effective rate of the experimental group was 92.16%,which was higher than 76.47%of the control group,the difference was statistically significant(P<0.05).After treatment,left ventricular ejection fraction of experimental group was higher than that of control group,cardiac output and late diastolic peak(peak A)velocity were faster than those of control group,late diastolic peak(peak E)velocity was slower than that of control group,and E/A level was lower than that of control group,with statistical significance(P<0.05).The incidence of adverse reactions in the experimental group was 3.92%,which was lower than 15.69%in control group,the difference was statistically significant(P<0.05).Conclusion:Compared with Propafenone,Amiodarone has more significant therapeutic effect on tachyarrhythmia patients,which can effectively improve the cardiac function index and control the disease of patients,and has fewer clinical adverse reactions.

TachyarrhythmiaAmiodaronePropafenoneCardiac function

武玉景

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山东省临沂市中心医院急诊科,山东 临沂 276400

快速心律失常 胺碘酮 普罗帕酮 心功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(14)