CAJ | 학술논문

目的：分析急性心肌梗死并发心房颤动患者应用胺碘酮的效果。方法：选取笔者所在医院2012年4月-2014年4月收治的78例急性心肌梗死并发心房颤动患者，按照随机数字表法分为对照组和试验组，每组39例。试验组患者给予注射盐酸胺碘酮进行治疗，对照组患者注射利多卡因进行治疗，对两组患者的心房颤动的转复率、控制率与药物的不良反应发生率进行对比。结果：试验组患者在24 h内心房颤动的转复率和心房颤动发作的控制率均显著高于对照组，两组比较差异均有统计学意义(P<0.05)。两组患者均未出现严重不良反应。结论：胺碘酮可良好的控制心房颤动的发作，且起效迅速，转复窦性心律，疗效确切，值得临床推广与应用。
목적：분석급성심기경사병발심방전동환자응용알전동적효과。방법：선취필자소재의원2012년4월-2014년4월수치적78례급성심기경사병발심방전동환자，안조수궤수자표법분위대조조화시험조，매조39례。시험조환자급여주사염산알전동진행치료，대조조환자주사리다잡인진행치료，대량조환자적심방전동적전복솔、공제솔여약물적불량반응발생솔진행대비。결과：시험조환자재24 h내심방전동적전복솔화심방전동발작적공제솔균현저고우대조조，량조비교차이균유통계학의의(P<0.05)。량조환자균미출현엄중불량반응。결론：알전동가량호적공제심방전동적발작，차기효신속，전복두성심률，료효학절，치득림상추엄여응용。
Objective:To analyze the effect of patients with acute myocardial infarction combined with atrial fibrillation treated by Amiodarone. Method:78 cases of acute myocardial infarction combined with atrial fibrillation,admitted in our hospital from April 2012 to April 2014 treated,were randomly divided into control group(39 cases) and experimental group(39 cases).The experimental group was treated with Amiodarone hydrochloride injection,the control group was treated with injection of Lidocaine,the successful rate of atrial fibrillation and the control rate and the incidence of drug adverse reaction were compared. Result:The recovery rate of atrial fibrillation with in 24 h and the control rate of atrial fibrillation in the experimental group patients were significantly higher than the control group,and the difference between the two groups were all statistically significant(P<0.05).No advers reactions were observed in two groups. Conclusion:Amiodarone can good control the happen of atrial fibrillation,and take effect faster,converting sinus rhythm,curative effect is accurate,worthy of clinical promotion and application.