CAJ | 학술논문

目的：分析胺碘酮在快速性心律失常(RA)中的应用效果。方法回顾性分析74例RA患者的临床资料，按不同治疗方案分为两组，各37例，行胺碘酮治疗者设为对照组，行胺碘酮联合美托洛尔治疗者设为研究组，对比两组的治疗疗效。结果研究组治疗有效率94.59%明显高于对照组81.08%，差异具有统计学意义(P<0.05)。治疗后两组血压与心率均得到明显改善，且研究组改善程度优于对照组，对比差异有统计学意义(P<0.05)。结论胺碘酮在RA中具有确切疗效，其与美托洛尔联用可显著改善患者症状并提升疗效，值得临床推广。
목적：분석알전동재쾌속성심률실상(RA)중적응용효과。방법회고성분석74례RA환자적림상자료，안불동치료방안분위량조，각37례，행알전동치료자설위대조조，행알전동연합미탁락이치료자설위연구조，대비량조적치료료효。결과연구조치료유효솔94.59%명현고우대조조81.08%，차이구유통계학의의(P<0.05)。치료후량조혈압여심솔균득도명현개선，차연구조개선정도우우대조조，대비차이유통계학의의(P<0.05)。결론알전동재RA중구유학절료효，기여미탁락이련용가현저개선환자증상병제승료효，치득림상추엄。
Objective To analyze the application effect of amiodarone in rapid arrhythmia (RA). MethodsClinical data of 74 RA patients were retrospectively analyzed. They were divided by different treatment methods into two group, with 37 cases in each group. Control group received amiodarone for treatment, and research group received amiodarone combined with metoprolol for treatment. Curative effects of the two groups were compared.Results The research group had higher effective rate as 94.59% than 81.08% of the control group, and their difference had statistical significance (P<0.05). After treatment, both groups had obvious improvement in blood pressure and heart rate, and the research group had better improvement than the control group. Their difference had statistical significance (P<0.05).Conclusion Amiodarone can provide precise effect in treating RA, and its combination with metoprolol can effectively improve symptoms and curative effect. This method is worth clinical promotion and application.