CAJ | 학술논문

目的观察记录比索洛尔和胺碘酮治疗心房颤动的临床疗效.方法分别应用比索洛尔和胺碘酮来治疗房颤;按其药物的使用情况分为比索洛尔组和胺碘酮组.观察两组患者房颤转复前后心室率和血压的变化情况、房颤转复的时间和药物的不良反应,并将两组进行对比分析.结果两组治疗房颤的转复成功率比较差异无显著性(P>0.05);平均转复时间、用药后心室率和血压降低情况的比较,两组也不存在显著差异(P>0.05).结论无论应用比索洛尔还是胺碘酮治疗房颤,均有较高的转复成功率、显著缩短的转复时间以及有效的心室率控制,都可以作为临床上治疗房颤的一线药物.
목적 관찰기록비색락이화알전동치료심방전동적림상료효.방법 분별응용비색락이화알전동래치료방전;안기약물적사용정황분위비색락이조화알전동조.관찰량조환자방전전복전후심실솔화혈압적변화정황、방전전복적시간화약물적불량반응,병장량조진행대비분석.결과 량조치료방전적전복성공솔비교차이무현저성(P>0.05);평균전복시간、용약후심실솔화혈압강저정황적비교,량조야불존재현저차이(P>0.05).결론 무론응용비색락이환시알전동치료방전,균유교고적전복성공솔、현저축단적전복시간이급유효적심실솔공제,도가이작위림상상치료방전적일선약물.
Objective To explore the efficacy of bisoprolol and that of amiodarone for atrial fibrillation. Methods The patients were divided into bisoprolol group and amiodarone group based on the use of these two different medications for atrial fibrillation. The changes in ventricular rate and blood pressure after cardioversion, cardioversion time, and adverse drug reactions were compared between the two groups.Results The success rate of converting to sinus rhythm did not differ significantly between the two groups ( P> 0.05 ), nor the average time to conversion, heart rate, and blood pressure ( P> 0.05 ). Conclusions Either amiodarone or bisoprolol for atrial fibrillation has a higher success rate of cardioversion, a marked shorter time to conversion, and an effective control of ventricular rate. Both of them can be used as the first line medications for atrial fibrillation.