首页|盐酸普罗帕酮片和胺碘酮治疗心律失常的临床效果及对心功能的影响

盐酸普罗帕酮片和胺碘酮治疗心律失常的临床效果及对心功能的影响

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目的 探讨盐酸普罗帕酮片和胺碘酮治疗心律失常的应用效果及对患者心功能的影响。方法 选取2021年1月—2023年10月福建医科大学附属漳州市医院心血管内科收治的108例心律失常患者,以随机数字表法分为对照组与观察组,各54例。对照组予以盐酸普罗帕酮片治疗,观察组予以胺碘酮治疗。探讨其应用效果。结果 观察组总有效率为100%,高于对照组的87。04%,差异有统计学意义(P<0。05)。治疗后,2组左室射血分数(left ventricular ejection fraction,LVEF)高于治疗前,左室收缩末期内径(left ventricular end-systolic diameter,LVESD)、左室舒张末期内径(left ventricular end-diastolic diameter,LVEDD)低于治疗前,差异有统计学意义(P<0。05);观察组LVEF为(53。02±2。12)%,高于对照组的(44。85±1。62)%;观察组LVEDD、LVESD分别为(42。52±2。11)mm、(35。96±1。26)mm,低于对照组的(54。11±2。35)mm、(43。11±1。44)mm,差异有统计学意义(P<0。05)。2组室性期前收缩、房性期前收缩、房室交界性期前收缩低于治疗前,差异有统计学意义(P<0。05);观察组室性期前收缩、房性期前收缩、房室交界性期前收缩低于对照组,差异有统计学意义(P<0。05)。2组生理功能、社会功能、情感职能、精神健康评分高于治疗前,差异有统计学意义(P<0。05);观察组生理功能、社会功能、情感职能、精神健康评分高于对照组,差异有统计学意义(P<0。05)。观察组总满意度为98。15%,高于对照组的83。33%,差异有统计学意义(P<0。05)。结论 在心律失常治疗上选择胺碘酮的应用效果较盐酸普罗帕酮片更优,其不仅可改善患者的心功能指标和心律失常指标,提升其生活各项评分和治疗满意度,改善预后。
Clinical Efficacy of Propafenone Hydrochloride Tablets and Amiodarone in the Treatment of Arrhythmia and Their Impact on Cardiac Function
Objective To explore the application effects of using propafenone hydrochloride tablets and amiodarone in the treatment of arrhythmia and their impact on patients' cardiac function. Methods A total of 108 patients with arrhythmia enrolled in the department of cardiovascular medicine,Zhangzhou Affiliated Hospital of Fujian Medical University from January 2021 to October 2023 were selected and divided into the control group and observation group with 54 patients in each group by random number table method. The control group was treated with propafenone hydrochloride tablets,and the observation group was treated with amiodarone. The application effect was discussed. Results The total effective rate of the observation group was 100%,higher than 87.04% of the control group,and the difference was statistically significant (P<0.05). After treatment,left ventricular ejection fraction (LVEF) in the two groups was higher than before treatment,and left ventricular end-systolic diameter (LVESD),left ventricular end-diastolic diameter (LVEDD) were lower than before treatment,the differences were statistically significant (P<0.05). LVEF of the observation group was (53.02±2.12)%,which was higher than (44.85±1.62)% of the control group,LVEDD and LVESD of the observation group were (42.52±2.11) mm and (35.96±1.26) mm,respectively,which were lower than (54.11±2.35) mm and (43.11±1.44) mm of the control group,and the differences were statistically significant (P<0.05). The pre-ventricular contraction,pre-atrial contraction and pre-atrioventricular junction contraction in 2 groups were lower than before treatment,and the differences were statistically significant (P<0.05). The pre-ventricular contraction,pre-atrial contraction and pre-atrioventricular junction contraction in observation group were lower than those in control group,and the differences were statistically significant (P<0.05). The scores of physiological function,social function,emotional function and mental health in 2 groups were higher than before treatment,and the differences were statistically significant (P<0.05). The scores of physiological function,social function,emotional function and mental health in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). The total satisfaction of the observation group was 98.15%,higher than 83.33% of the control group,and the difference was statistically significant (P<0.05). Conclusion The application effect of amiodarone in the treatment of arrhythmia is better than that of propafenone hydrochloride tablets. It can not only improve patients' cardiac function indicators and arrhythmia indicators,improve their life scores and treatment satisfaction,improve prognosis.

arrhythmiapropafenone hydrochloride tabletsamiodaroneheart functionquality of lifesatisfaction

曾淑云、陈谭根

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福建医科大学附属漳州市医院心血管内科,福建漳州 363000

福建医科大学附属漳州市医院肝胆疝外科,福建 漳州 363000

心律失常 盐酸普罗帕酮片 胺碘酮 心功能 生活质量 满意度

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(22)