| 胺碘酮治疗老年充血性心力衰竭伴室性心律失常106例临床分析 |
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| 引用本文： | 钟榕宽,吴晓新,段艳锋,钟凤英.胺碘酮治疗老年充血性心力衰竭伴室性心律失常106例临床分析[J].内科,2009,4(3):340-342. |
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| 作者姓名： | 钟榕宽 吴晓新 段艳锋 钟凤英 |
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| 作者单位： | 1. 广州经济技术开发区红十字会医院内科,广州市,510530
2. 广东省中医院急诊科,广州市,510120 |
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| 摘 要： | 目的 探讨胺碘酮治疗老年性充血性心力衰竭（CHF）的效果与安全性。方法将106例各种原因所致的伴发室性心律失常的CHF患者按入院顺序随机分为治疗组及对照组。两组抗CHF基础治疗相同，治疗组加用胺碘酮片0．2g，3次／d，1周；再0．2g,2次／d，1周后以0．1～0．2g1次／d至观察终点，随访时间为24个月。分析两组在抗室性心律失常、左室射血分数、心脏性猝死，心力衰竭再住院率、药物不良反应等方面的情况。结果治疗组53例使用小剂量胺碘酮治疗。可显著增加抗心律失常有效率，改善左室射血分数，减少心脏性猝死及心力衰竭再住院率。药物致心律失常作用及严重不良反应少。结论老年CHF伴发室性心律失常使用小剂量胺碘酮治疗疗效肯定，毒副作用少，安全性较高，适合基层推广应用。
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| 关 键 词： | 充血性心力衰竭 老年人 胺碘酮 安全性 |
Clinical analysis of amiodarone in the treatment of 106 cases of senile congestive heart failure concomitant with ventricular arrhythmia |
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| ZHONG Rong-kuan,WU Xiao-xin,DUAN Yan-feng,ZHONG Feng-ying.Clinical analysis of amiodarone in the treatment of 106 cases of senile congestive heart failure concomitant with ventricular arrhythmia[J].Internal Medicine of China,2009,4(3):340-342. |
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| Authors: | ZHONG Rong-kuan WU Xiao-xin DUAN Yan-feng ZHONG Feng-ying |
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| Institution: | 1Department of Internal Medicine;Red Cross Hospital of Guangzhou TEDA;Guangzhou 510530;China;2Department of emergence;TCM Hospital of Guangdong;Guangzhou 510120;China |
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| Abstract: | Objective To explore the effect and safety of amiodarone in the treatment of senile congestive heart failure(SCHF).Methods 106 cases of SCHF concomitant with ventricular arrhythmias patients caused by a variety of reasons were randomly divided into treatment group and control group according to hospitalized order.The two groups were treated with the same anti-CHF therapy,the treatment group was plused by amiodarone tablets with 0.2g,3 times/day,a week,further 0.2g,2 times/day,a week,later 0.1 to 0.2g,1 time... |
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| Keywords: | Congestive heart failure The elderly Amiodarone Safety |
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