CAJ | 학술논문

目的：总结快速抗心律失常药治疗陈发性室上性心动过速（PSVT）的经验。方法：回顾性总结分析大理州中医院2000年8月至2010年7月收治的42例PSVT患者的临床资料。结果：异搏定组10例,有效9例,不良反应3例、有效率90%;心律平组12例,有效12例,不良反应2例,有效率100%;ATP组6例,有效6例,不良反应1例,有效率100%;西地兰组6例,有效5例,不良反应0例,有效率83.33%;乙胺碘呋酮组8例,有效7例,不良反应2例,有效率87.5%。结论：在严格掌握适应症和禁忌症的情况下选择合适的抗心律失常药治疗PSVT,可大大提高转复率,减少不良反应发生率,降低医疗风险。
목적：총결쾌속항심률실상약치료진발성실상성심동과속（PSVT）적경험。방법：회고성총결분석대리주중의원2000년8월지2010년7월수치적42례PSVT환자적림상자료。결과：이박정조10례,유효9례,불량반응3례、유효솔90%;심률평조12례,유효12례,불량반응2례,유효솔100%;ATP조6례,유효6례,불량반응1례,유효솔100%;서지란조6례,유효5례,불량반응0례,유효솔83.33%;을알전부동조8례,유효7례,불량반응2례,유효솔87.5%。결론：재엄격장악괄응증화금기증적정황하선택합괄적항심률실상약치료PSVT,가대대제고전복솔,감소불량반응발생솔,강저의료풍험。
Objective：To discuss the experience of paroxysmal supraventricular tachycardia（PSVT） treated with anti-tachyarrhythmia drugs in Dali Traditional Chinese Medicine Hospital.Method： Retrospective analysis was conducted on 42 cases of PSVT from August 2000 to July 2010 in our hospital.Results： Five anti-tachyarrhythmia drugs were applied in 42 cases of PSVT according to each indication.There were 10 cases in Verapamil group,effective in 9 cases,3 cases of adverse reactions,total efficiency was 90%;12 cases in propafenone group,effective in all 12 cases,2 cases of adverse reactions,total efficiency was 100%;among the 6 cases in ATP group,6 were effective,1 had adverse reaction,and the total efficiency was 100%;among the 6 cases in cedilanid group,5 were effective with non adverse reaction observed,and its total efficiency was 83.33%;among the 8 cases in amiodarone group,7 were effective,2 had adverse reactions,and its total efficiency was 87.5%.Conclusion： Under strict indications and contraindications,anti-arrhythmic drug selection in PSVT therapy is most important;it can greatly improve the terminating rate of PSVT,and reduce the incidence of adverse reactions and clinical risks.