急诊应用盐酸关附甲素治疗阵发性室上速的疗效观察 |
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引用本文: | 吴爱慧,张源波,周荣斌,韩聚强,王大伟. 急诊应用盐酸关附甲素治疗阵发性室上速的疗效观察[J]. 浙江临床医学, 2010, 12(12): 1313-1314 |
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作者姓名: | 吴爱慧 张源波 周荣斌 韩聚强 王大伟 |
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作者单位: | 北京军区总医院急诊科,100039 |
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摘 要: | 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。
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关 键 词: | 关附甲素 胺碘酮 阵发性室上性心动过速 |
Clinical observation on the therapeutic effects of treating paroxysmal supraventricular tachycardia by hydrochloric acid Guan-fu base A and Amiodaron |
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Abstract: | 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. |
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Keywords: | Guan - fu base A Amiodaron Paroxysmal supraventricular tachycardia |
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