CAJ | 학술논문

目的：探讨胺碘酮在老年急性心肌梗死并发室性心律失常患者中的治疗效果。方法选择84例老年心肌梗死并发室性心律失常患者，将所有患者分为2组(n=42)，试验组患者给予利多卡因治疗，对照组患者采用胺碘酮治疗，对2组患者的治疗效果进行比较。结果试验组患者治疗总有效率为97.6%；对照组患者治疗总有效率为73.8%，2组比较差异有统计学意义（P<0.05）。对照组患者有2例存在心动过缓表现，3例甲状腺功能异常患者，试验组患者中有1例心动过缓患者,组间比较，差异有统计学意义（P<0.05）。结论胺碘酮能够有效改善患者临床表现，改善患者治疗效果，同时还能够降低患者并发症发生率，安全性非常高。
목적：탐토알전동재노년급성심기경사병발실성심률실상환자중적치료효과。방법선택84례노년심기경사병발실성심률실상환자，장소유환자분위2조(n=42)，시험조환자급여리다잡인치료，대조조환자채용알전동치료，대2조환자적치료효과진행비교。결과시험조환자치료총유효솔위97.6%；대조조환자치료총유효솔위73.8%，2조비교차이유통계학의의（P<0.05）。대조조환자유2례존재심동과완표현，3례갑상선공능이상환자，시험조환자중유1례심동과완환자,조간비교，차이유통계학의의（P<0.05）。결론알전동능구유효개선환자림상표현，개선환자치료효과，동시환능구강저환자병발증발생솔，안전성비상고。
Objective To investigate the effect of amiodarone in elderly patients with acute myocardial infarction complicated with ventricular arrhythmia.Methods 84 elderly patients with myocardial infarction complicated with ventricular arrhythmia were divided into two groups(n=42). The experimental group was given Lidocaine, the control group was given Amiodarone. The clinical effects inthe two groups was compared. Results The total effective rate in the experimental group was 97.6% while was 73.8% in the control group. There exists signifi cant difference in the two groups(P<0.05). There are 2 patients with bradycardia and 3 patients with thyroid dysfunction in the control group. 1 bradycardia case is in the experimental group(P<0.05).Conclusion Amiodarone can effectively improve the clinical manifestations of patients, improve patient treatment effect, at the same time also can reduce the incidence of complications in patients with very high security.