CAJ | 학술논문

目的：研究采用药物联合体外起搏方法在急诊严重缓慢心律失常的临床疗效观察。方法：选取本中心自2012年1月～2013年4月进行严重缓慢心律失常120例患者进行治疗，对其进行随机分组，分为对照组和观察组，每组60例患者，对照组采用药物治疗，观察组采用药物联合体外起搏对患者进行治疗，对比分析两组的治疗效果。结果：经过本中心分组治疗之后，对照组起搏成功有20例，起搏有效占14例，无效占26例，起搏成功率为56．67％；观察组起搏成功有38例，起搏有效占16例，无效占6例，起搏成功率为90％，两组患者的起搏成功率存在着显著性差异，P＜0．05，有统计学意义。结论：采用药物联合体外起搏方法比单纯的药物在严重缓慢心律失常治疗效果更好，其治疗不仅稳定，而且无创，并发症也相对较少，值得临床的应用以及推广。
목적：연구채용약물연합체외기박방법재급진엄중완만심률실상적림상료효관찰。방법：선취본중심자2012년1월～2013년4월진행엄중완만심률실상120례환자진행치료，대기진행수궤분조，분위대조조화관찰조，매조60례환자，대조조채용약물치료，관찰조채용약물연합체외기박대환자진행치료，대비분석량조적치료효과。결과：경과본중심분조치료지후，대조조기박성공유20례，기박유효점14례，무효점26례，기박성공솔위56．67％；관찰조기박성공유38례，기박유효점16례，무효점6례，기박성공솔위90％，량조환자적기박성공솔존재착현저성차이，P＜0．05，유통계학의의。결론：채용약물연합체외기박방법비단순적약물재엄중완만심률실상치료효과경호，기치료불부은정，이차무창，병발증야상대교소，치득림상적응용이급추엄。
Objective :To observe the clinical effect of the drug combination in vitro method of pacing in the emergency of severe bradyarrhythmia . Methods :the center for severe slow arrhythmia in 120 patients who were treated from 2012 January~2013 year in April ,were randomly assigned to it , divided into control group and observation group ,60 patients in each group ,the control group with drug treatment ,observation group used drugs combined with external pacing to treat patients ,comparative analysis of two groups effect of treatment .Results:after the treatment group ,the control group with 20 cases of successful pacing ,pacing ,effective 14 cases ,invalid 26 cases ,the success rate was 56 .67% in observation group pacing ;pacing was successful in 38 cases ,pacing effectively accounted for 16 cases ,invalid 6 cases ,the success rate was 90% in two patients with pacing ,pacing the success rate had significant differences ,P<0 .05 ,there was statistical significance .Conclusion:the drug combined with external pacing method than simple drug in severe slow cardiac better therapeutic effects in the treatment of arrhythmia ,not only the stability ,but also noninvasive ,relatively few complications ,worthy of clinical application and promotion .