中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
23期
32-33
,共2页
冠心病慢性心力衰竭%室性心律失常%合并症%治疗方案%胺碘酮
冠心病慢性心力衰竭%室性心律失常%閤併癥%治療方案%胺碘酮
관심병만성심력쇠갈%실성심률실상%합병증%치료방안%알전동
Chronic heart failure of coronary heart disease%Ventricular arrhythmia%Complication%Treatment plan%Amiodarone
目的：探讨冠心病慢性心力衰竭合并室性心律失常患者的临床治疗方案及效果。方法：2011年3月-2013年10月收治冠心病慢性心力衰竭合并室性心律失常患者80例，随机分为研究组与对照组，各40例。对照组采取常规治疗+普罗帕酮治疗，研究组在常规治疗基础上加用胺碘酮治疗，观察记录两组临床治疗效果及不良反应情况。结果：研究组治疗总有效率与不良反应发生率分别为87.50%(35/40)、5.00%(2/40)，对照组则分别为80.00%(32/40)、12.50%(7/40)，研究组总有效率高于对照组，而不良反应发生率明显低于对照组，组间对比总有效率差异无统计学意义(P＞0.05)，不良反应发生率差异有统计学意义(P＜0.05)。结论：冠心病慢性心力衰竭合并室性心律失常患者多为老年患者，治疗时除了要考虑疗效外，还应注意老年人群的耐受性，故而应采取安全有效的方法处理，在常规治疗基础上加用胺碘酮效果明显，并且不良反应少，安全性高，值得借鉴。
目的：探討冠心病慢性心力衰竭閤併室性心律失常患者的臨床治療方案及效果。方法：2011年3月-2013年10月收治冠心病慢性心力衰竭閤併室性心律失常患者80例，隨機分為研究組與對照組，各40例。對照組採取常規治療+普囉帕酮治療，研究組在常規治療基礎上加用胺碘酮治療，觀察記錄兩組臨床治療效果及不良反應情況。結果：研究組治療總有效率與不良反應髮生率分彆為87.50%(35/40)、5.00%(2/40)，對照組則分彆為80.00%(32/40)、12.50%(7/40)，研究組總有效率高于對照組，而不良反應髮生率明顯低于對照組，組間對比總有效率差異無統計學意義(P＞0.05)，不良反應髮生率差異有統計學意義(P＜0.05)。結論：冠心病慢性心力衰竭閤併室性心律失常患者多為老年患者，治療時除瞭要攷慮療效外，還應註意老年人群的耐受性，故而應採取安全有效的方法處理，在常規治療基礎上加用胺碘酮效果明顯，併且不良反應少，安全性高，值得藉鑒。
목적：탐토관심병만성심력쇠갈합병실성심률실상환자적림상치료방안급효과。방법：2011년3월-2013년10월수치관심병만성심력쇠갈합병실성심률실상환자80례，수궤분위연구조여대조조，각40례。대조조채취상규치료+보라파동치료，연구조재상규치료기출상가용알전동치료，관찰기록량조림상치료효과급불량반응정황。결과：연구조치료총유효솔여불량반응발생솔분별위87.50%(35/40)、5.00%(2/40)，대조조칙분별위80.00%(32/40)、12.50%(7/40)，연구조총유효솔고우대조조，이불량반응발생솔명현저우대조조，조간대비총유효솔차이무통계학의의(P＞0.05)，불량반응발생솔차이유통계학의의(P＜0.05)。결론：관심병만성심력쇠갈합병실성심률실상환자다위노년환자，치료시제료요고필료효외，환응주의노년인군적내수성，고이응채취안전유효적방법처리，재상규치료기출상가용알전동효과명현，병차불량반응소，안전성고，치득차감。
To investigate the clinical treatment and effect of chronic heart failure of coronary heart disease with ventricular arrhythmia patients.Methods:80 cases with coronary heart disease patients with chronic heart failure and ventricular arrhythmia were selected from March 2011 to October 2013.They were randomLy divided into the study group and the control group with 40 cases in each.The control group were given the routine treatment and propafenone.The study group were given amiodarone on the basis of conventional therapy.We observed and recorded the clinical therapeutic effect and adverse reactions of the two groups.Results:The total efficiency and adverse reaction rates of the study group were 87.50% (35/40),5% (2/40) respectively.At the same time,that of the control group were 80%(32/40) and 12.50%(7/40) respectively.The total effective rate of the study group was higher than that of the control group,but the incidence of adverse reaction of the study group was lower than that of the control group.The comparison of the total efficiency between the two groups had no significant difference(P>0.05),but the adverse reaction of them had significant differences(P<0.05).Conclusion:Most of the chronic heart failure of coronary heart disease with ventricular arrhythmia patients were elderly,when we treated them not only consider the effect of tolerance,but also pay attention to the elderly tolerance,therefore we should take effective and safe methods.The effect of amiodarone combine with the conventional therapy is obviously,and it has less adverse reaction,high security,so it is worth to learning.
