CAJ | 학술논문

目的：分析胺碘酮治疗急性心肌梗死合并室性心律失常中的应用价值。方法选择商丘市中心医院80例心肌梗死合并室性心律失常患者作为研究对象，采用掷硬币的方式将患者随机分为两组，对照组采用利多卡因治疗，观察组采用胺碘酮治疗，观察两组患者的病死率及室颤发生率，记录室性心律失常的发生次数、QRS 波时限、PR 间期值。结果观察组病死率及室颤发生率分别为0、2.5%，均低于对照组，差异有统计学意义（P ﹤0.05）。观察组室性心律失常的发生次数、QRS 波时限分别为（906.385±89.674）次、（0.070±0.005）s，均低于对照组，PR 间期为（0.151±0.002）s，高于对照组，差异有统计学意义（P ﹤0.05）。结论胺碘酮治疗 AMI 合并室性心律失常可有效抑制心律失常，有利于降低患者的病死率。
목적：분석알전동치료급성심기경사합병실성심률실상중적응용개치。방법선택상구시중심의원80례심기경사합병실성심률실상환자작위연구대상，채용척경폐적방식장환자수궤분위량조，대조조채용리다잡인치료，관찰조채용알전동치료，관찰량조환자적병사솔급실전발생솔，기록실성심률실상적발생차수、QRS 파시한、PR 간기치。결과관찰조병사솔급실전발생솔분별위0、2.5%，균저우대조조，차이유통계학의의（P ﹤0.05）。관찰조실성심률실상적발생차수、QRS 파시한분별위（906.385±89.674）차、（0.070±0.005）s，균저우대조조，PR 간기위（0.151±0.002）s，고우대조조，차이유통계학의의（P ﹤0.05）。결론알전동치료 AMI 합병실성심률실상가유효억제심률실상，유리우강저환자적병사솔。
Objective To analyze the effect of amiodarone on acute myocardial infarction com-bined the ventricular arrhythmias. Methods Eighty patients with myocardial infarction complicating ventricular arrhythmia were chose as research objects,and patients were randomly divided into two groups,control group had lidocaine treatment,observation group had amiodarone treatment. The mortality and incidence of ventricular fibrillation was observed,and the occurrence of ventricular ar-rhythmia,duration of QRS wave,PR interval value was recorded. Results The mortality and inci-dence of ventricular fibrillation in observation group was respectively 0,2. 5% ,which was lower than that of the control group,the differences were significant( P ﹤ 0. 05). The ventricular arrhyth-mia occurrence frequency,duration of QRS wave in observation group was respectively(906. 385 ± 89. 674),(0. 070 ± 0. 005)s,which were lower than those of the control group,PR interval dura-tion was(0. 151 ± 0. 002)s,which was higher than that of the control group,the differences were significant( P ﹤ 0. 05 ). Conclusions Taking amiodarone treatment of AMI with ventricular ar-rhythmia,can effectively inhibit cardiac arrhythmia,and lower the mortality of patients.