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关于心房颤动论文范文资料 与不同剂量胺碘酮治疗急性心梗伴心房颤动近远期疗效分析有关论文参考文献

版权:原创标记原创 主题:心房颤动范文 科目:发表论文 2024-02-19

《不同剂量胺碘酮治疗急性心梗伴心房颤动近远期疗效分析》:本论文为您写心房颤动毕业论文范文和职称论文提供相关论文参考文献,可免费下载。

[摘 要] 目的 探討不同剂量胺碘酮治疗急性心肌梗死(AMI)伴心房颤动的近远期疗效及安全性.方法 方便选取该院2015年8月—2016年10月收治的AMI伴心房颤动患者76例,随机分为观察组和对照组,各38 例.观察组患者给予胺碘酮口服0.2 g/次,2次/d,7 d以后调整为0.2 g /次,1次/d维持治疗;对照组患者给予胺碘酮口服0.2 g/次,3次/d,7 d以后调整为0.3 g/次,1次/d维持.总治疗周期为1个月.观察两组患者的24 h房颤转复率,远期房颤发作控制率变化情况,以及观察两组患者对药物的不良反应发生情况.结果 观察组患者的24 h房颤转复率97.37%和远期房颤发作控制率100%均高于对照组81.58%、89.47%(P<0.05);观察组完全复率时间(11.24±3.16)h短于对照组(7.25±3.07)h(P<0.05);观察组和对照组患者对药物的不良反应情况比较,观察组总发生率为5.26%,对照组总发生率为13.26%,差异无统计学意义(P>0.05). 结论 胺碘酮治疗急性心梗伴心房颤动的近远期疗效确切,在预防急性心梗引发血栓的同时,推荐给予胺碘酮口服0.2 g tid,7 d以后调整为0.3 g qd维持治疗.

[关键词] 胺碘酮;急性心梗;心房颤动;疗效观察

[中图分类号] R972 [文献标识码] A [文章编号] 1674-0742(2017)06(b)-0119-03

[Abstract] Objective To discuss the long-term and short-term curative effects and safety of different doses of amiodarone in treatment of acute myocardial infarction with auricular fibrillation. Methods 76 case of patients with AMI and auricular fibrillation admitted and treated in our hospital from August 2015 to October 2016 were convenient selected and randomly divided into two groups with 38 cases in each, the observation group adopted the oral administration of amiodarone of 0.2 g every time, twice every day, after 7 d, changing 0.2 g every time, once every day maintenance treatment, and the control group adopted the oral administration of 0.2 g every time, three times every day, after 7 d, changing 0.3 g every time, once every day maintenance treatment, and the total treatment period was 1 month, and the diversion rate of 24 h auricular fibrillation and control rate changes of long-term auricular fibrillation attack of the two groups were observed and the occurrence of drug adverse reactions of the two groups was observed. Results The diversion rate of 24 h auricular fibrillation and control rate changes of long-term auricular fibrillation attack in the observation group were higher than those in the control group (97.37%, 100% vs 81.58%, 89.47%)(P<0.05), and the total diversion rate in the observation group was shorter than that in the control group, [(11.24±3.16)h vs (7.25±3.07)h](P<0.05), and the difference in the total incidence rate of adverse reactions between the observation group and the control group was not statistically significant(5.26% vs 13.26%)(P>0.05). Conclusion The curative effect of amiodarone in treatment of acute myocardial infarction with auricular fibrillation is definite, oral administration of amiodarone of 0.2 g tid and maintenance treatment of 0.3 g qd after 7 d is recommended in preventing the thrombus caused by the acute myocardial infarction.

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结论:不同剂量胺碘酮治疗急性心梗伴心房颤动近远期疗效分析为关于对不知道怎么写心房颤动论文范文课题研究的大学硕士、相关本科毕业论文房颤最佳治疗方法论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。

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