胺碘酮治疗急性心肌梗死后室性心律失常临床分析

摘要

目的 在急性心肌梗死后室性心律失常患者中应用胺碘酮进行治疗, 探究分析治疗效果.方法 研究时间介于2017年8月-2018年8月,从中在该院方便选取100例急性心肌梗死后室性心律失常患者作为研究对象展开分析,遵循随机分组的原则实施分组,即对照组和观察组,各50例,将利多卡因应用于对照组患者中,将胺碘酮应用于观察组患者中,对两组患者的治疗效果和血压予以比较.结果 相较于对照组,观察组患者治疗总有效率显著较高,对照组总有效率64.00％,观察组的总有效率90.00％,差异有统计学意义(χ2=9.543,P＜0.05);对照组患者的收缩压和舒张压均高于观察组,观察组患者的收缩压和舒张压分别为(115.87±5.76)mmHg、(74.76±6.16)mmHg,对照组的收缩压、和舒张压分别为(139.31±6.48)mmHg,(89.87±5.42)mmHg,差异有统计学意义(t=14.825、10.094,P＜0.05).结论 在急性心肌梗死后室性心律失常患者中应用胺碘酮进行治疗的效果显著,且血压控制效果较好,值得推广应用.%Objective To treat amiodarone in patients with ventricular arrhythmia after acute myocardial infarction, and to analyze the therapeutic effect. Methods The study time ranged from August 2017 to August 2018. From this study, 100 patients with ventricular arrhythmia after acute myocardial infarction were selected as the research object. According to the principle of random grouping, they were randomly divided into two groups namely the control group and the observation group, 50 cases were convenient treated with lidocaine in the control group. Amiodarone was applied to the observation group, and the treatment effect and blood pressure of the two groups were compared. Results Compared with the control group, the total effective rate of the observation group was significantly higher. The total effective rate of the control group was 64.00％, and the total effective rate of the observation group was 90.00％, which was statistically significant (χ2=9.543, P＜0.05). The systolic and diastolic blood pressures of the control group were higher than those of the observation group. The systolic blood pressure and diastolic blood pressure of the observation group were (115.87 ±5.76) mmHg, (74.76±6.16) mmHg, respectively. The systolic blood pressure and diastolic blood pressure in the control group. The systolic and diastolic blood pressure of the contrd group were (139.31±6.48) mmHg and (89.87±5.42) mmHg, respectively, and the difference was statistically significant (t=14.825, 10.094, P＜0.05). Conclusion The effect of amiodarone in patients with ventricular arrhythmia after acute myocardial infarction is significant, and the blood pressure control effect is better, which is worthy of popularization and application.