静脉注射胺碘酮治疗老年心力衰竭合并快速性室性心律失常的疗效

摘要

目的：探讨心力衰竭合并快速性室性心律失常的老年患者采取静脉注射胺碘酮治疗的疗效。方法纳入老年心力衰竭合并快速性室性心律失常患者70例，根据治疗方案的不同分为研究组（常规治疗+胺碘酮静脉注射）与对照组（常规治疗+利多卡因静脉注射），观察比较两组患者的临床疗效，以及治疗前后的血流动力学指标。结果研究组心力衰竭治疗有效率为94.29%，心律失常治疗有效率为97.14%，均显著高于对照组的77.14%、71.43%（P<0.05）。治疗后，研究组的MAP、 EF、 CI、E/A水平均显著高于对照组，差异均有统计学意义（P<0.05）。结论静脉注射胺碘酮治疗老年心力衰竭合并快速性室性心律失常患者具有较好的临床疗效，能够在短时间内改善患者的心功能及血流动力学，值得推广。%Objective To study the curative effect of intravenous injection of amiodarone in the treatment of elderly patients with heart failure complicated with rapid ventricular arrhythmia. Methods A total of 70 cases of elderly patients with heart failure complicated with rapid ventricular arrhythmia were selected and divided into the study group (routine therapy+intravenous injection of amiodarone) and the control group (routine therapy+intravenous injection of lidocaine). The clinical effect, and hemodynamic parameters before and after therapy were compared between two groups. Results The total effective rates for heart failure and arrhythmia of study group were 94.29%and 97.14%respectively, significantly higher than 77.14%and 71.43%of control group, respectively (P<0.05). After therapy, the MAP, EF, CI and E/A ratio of study group were significantly higher than those of control group (P<0.05). Conclusions Intravenous injection of amiodarone has significant efficacy for elderly patients with heart failure complicated with rapid ventricular arrhythmia, which can improve patients' heart function and hemodynamics in a short time.