CAJ | 학술논문

目的：探讨和分析盐酸艾司洛尔与胺碘酮联合使用在治疗心室电风暴患者的效果。方法整群选取该院在2011年9月-2014年6月期间所收治的329例心室电风暴患者，遵照随机与知情自愿原则，分为观察组(160例)和对照组(169例)。给予药物胺碘酮治疗，对观察组患者采用盐酸艾司洛尔与胺碘酮联合治疗方案，疗程结束后，认真观察和对比两组患者所取得治疗的效果。结果观察组患者总有效率为95.0%，明显高于对照组的70.4%，该两组患者总有效率对比，差异有统计学意义(P<0.01)；治疗后观察组患者收缩压与心率分别为(104.0±15.0)mmHg、(84.0±13.0)次/min全部低于对照组，该两组患者治疗后的收缩压与心率对比，差异有统计学意义(P<0.05)。结论采用盐酸艾司洛尔联合药物胺碘酮共同治疗心室电风暴患者的临床效果满意，能够提高心室风暴患者的治愈率，具有临床推广价值。
목적：탐토화분석염산애사락이여알전동연합사용재치료심실전풍폭환자적효과。방법정군선취해원재2011년9월-2014년6월기간소수치적329례심실전풍폭환자，준조수궤여지정자원원칙，분위관찰조(160례)화대조조(169례)。급여약물알전동치료，대관찰조환자채용염산애사락이여알전동연합치료방안，료정결속후，인진관찰화대비량조환자소취득치료적효과。결과관찰조환자총유효솔위95.0%，명현고우대조조적70.4%，해량조환자총유효솔대비，차이유통계학의의(P<0.01)；치료후관찰조환자수축압여심솔분별위(104.0±15.0)mmHg、(84.0±13.0)차/min전부저우대조조，해량조환자치료후적수축압여심솔대비，차이유통계학의의(P<0.05)。결론채용염산애사락이연합약물알전동공동치료심실전풍폭환자적림상효과만의，능구제고심실풍폭환자적치유솔，구유림상추엄개치。
Objective To explore and analyze the effects of esmolol hydrochloride combined with amiodarone in the treatment of patients with ventricular electrical storm. Methods In our hospital from 2011 September to 2014 June, during the 329 cases of pa-tients with ventricular electrical storm, random and follow the principle of voluntary informed, divided into the observation group (160 cases) and control group (169 cases). Given the drug amiodarone treatment, the observation group were treated by hydrochlo-ric acid esmolol and amiodarone combination therapy, after the treatment, careful observation and comparison of two groups of pa-tients achieved treatment effect. Results In the observation group, the total effective rate was 95%, significantly higher than the control group of 70.4%patients in the two group, the total efficiency of contrast, with significant difference (P<0.01), there is sta-tistical significance;after the treatment, the patients in observation group were systolic blood pressure and heart rate were(104±15) mmHg,(84±13) time / min all lower than the control group, compared the systolic pressure and heart rate of the two groups of pa-tients after the treatment, it has obvious difference (P<0.05), there is statistical significance. Conclusion Using esmolol hydrochlo-ride combined with drug amiodarone better clinical effect of ventricular electrical storm with a common treatment, can improve the life quality of life in patients with ventricular storm, has clinical value.