急诊应用盐酸关附甲素治疗阵发性室上速的疗效观察

目的观察急诊应用盐酸关附甲素治疗阵发性室上性心动过速（PSVT）的疗效及安全性。方法将100例PSVT患者随机分为两组，胺碘酮组50例和关附甲素50例，分别给予胺碘酮、关附甲素静脉注射治疗，观察比较二者的疗效和安全性。结果胺碘酮组和关附甲素组在1h内转复率分别为62．0％和84．0％，两组比较差异有统计学意义（P〈0．05）；用药物后观察24h内胺碘酮组复发率9．68％（3／31），关附甲素组4．76％（2／42）。结论关附甲素可作为PSVT的一线治疗用药，疗效确切且较安全。

Clinical observation on the therapeutic effects of treating paroxysmal supraventricular tachycardia by hydrochloric acid Guan-fu base A and Amiodaron

Objective To observe the curative effect and security in treatment of paroxysmal room tachycardia （PSVT） by hydrochloric acid Guan - fu base A and Amiodaron. Methods 100 patients were divided into Amiodaron group （ n = 50） , Guan - fu base A （n = 50）. Two groups were given Amiodaron and Guan - fu base A through intravenous, curative effect was observed. Results The effectiveness of Amiodaron group and Guan -fu base A group were 31% and 42%. The difference between groups was significance（P 〈0. 05）. The recurrence rate in 24 hours of Amiodaron group was 4. 1% ,recurrence rate of Guan -fu base A group was 2. 7%. The difference was nonsignificant （P 〉 0. 05）. Conclusion Guan - fu base A could be used in the treatment of PSVT. The curative effect of Guan - fu base A is accurate and safe.