首页|胺碘酮联合比索洛尔对充血性心力衰竭并室性心律失常患者的疗效

胺碘酮联合比索洛尔对充血性心力衰竭并室性心律失常患者的疗效

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目的 探讨胺碘酮联合比索洛尔对充血性心力衰竭并室性心律失常患者的疗效及安全性.方法 选取本院2011年1月~2017年4月收治的充血性心力衰竭并室性心律失常患者100例,随机分为2组,每组50例.对照组单用胺碘酮治疗,观察组给予胺碘酮联合比索洛尔联合治疗.比较2组心律失常疗效和心功能疗效,治疗前后心率、射血分数及按心率校正的QT时间(QTc)变化,不良反应发生情况.结果 观察组心律失常治疗有效率和心功能治疗有效率分别为94.00%、96.00%,均显著高于对照组(70.00%、78.00%,P<0.05).与治疗前对比,2组治疗3个月后心率和射血分数均显著改善(P<0.05);且观察组较对照组改善更显著(P<0.05).观察组治疗3个月后QTc较治疗前显著延长(P<0.05),对照组与治疗前比较差异无统计学意义.2组不良反应发生率比较差异无统计学意义.结论 胺碘酮联合比索洛尔对充血性心力衰竭并室性心律失常疗效显著,安全可靠,值得临床推广使用.
Clinical effect of amiodarone combined with bisoprolol in patients with congestive heart failure and ventricular arrhythmia
Objective To explore clinical effect and safety of amiodarone combined with bisoprolol in patients with congestive heart failure and ventricular arrhythmia. Methods Selected 100 cases with congestive heart failure and ventricular arrhythmia in our hospital from January 2011 to April 2017 as research objectives and divided them into two groups randomly with 50 cases in each group. Provided amiodarone to control group and provided amiodarone combined with bisoprolol to observation group. Compared two groups' arrhythmia and cardiac function, heart rate, ejection fraction, QT time (QTc) corrected for heart rate before and after treatment as well as adverse events. Results Observation group's effective rate of arrhythmia treatment and the effective rate of cardiac function were 94.00%, 96.00%, those were significant higher than control group's 70.00%, 78.00% (P<0.05). Two groups' heart rate and ejection fraction score after 3 month treatment were significant higher than those before treatment (P<0.05), and observation group's improvement was more significant (P<0.05). Observation group's QTc was significantly prolonged after 3 months of treatment (P<0.05), but control group's QTc did not change significantly. There was no significant difference in the incidence of adverse reactions between the two groups. Results Amiodarone combined with bisoprolol has significant clinical effect on patients with congestive heart failure and ventricular arrhythmia. It is safe and worthy to be promoted clinically.

Amiodaronepisololcongestive heart failureventricular arrhythmia

余巍、王德荣

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江油市九〇三医院 心血管内科,四川 江油 621700

胺碘酮 比索洛尔 充血性心力衰竭 室性心律失常

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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