[精品]58例阵发性室上性心动过速急诊治疗临床分析.doc

《[精品]58例阵发性室上性心动过速急诊治疗临床分析.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、58例阵发性室上性心动过速急诊治疗临床分析58例阵发性室上性心动过速急诊治疗临床分析摘耍：0的：探究58例阵发性室上性心动过速患者急诊治疗的疗效，并进行临床分析。方法：对我院2013年5月〜2014年5月急诊收治的58例阵发性室上性心动过速患者展开研究，将其按照急诊治疗方式的不同分为两组，其中行普罗帕酮治疗的作为观察组，行三磷酸腺昔治疗的作为对照组，观察比较两组患者的临床疗效及药物副反应情况。结果：治疗后，观察组患者复律总有效率为93.10%较对照组的68.97%高；总药物副反应发生率为10.34%较对照组的34.4

2、8%低；两组患者复律时间相比较t二31.6075(p=0.0000),复律有效率比较x2=5.4023(p二0.0201),总药物副作用比较x2=4.7744(p=0.0289),差异具有统计学意义。结论：普罗帕酮类药物在急诊时对阵发性室上性心动过速的治疗效果显著，药物副作用发生率低,安全性高，提高了患者的转复率，值得在临床推广应用。关键词：阵发性室上性心动过速；急诊治疗；临床分析Tn58patientswithparoxysmalsupraventriculartachycardiaBeckoningemergen

3、cytreatmentclinicalanalysisDaiJinzhongHunanprovinceJishoucityXiangxiAutonomousPrefecturePeople5shospitalemergencydepartmentofHunanXiangxi416000AbstractObjective:Toinvestigate58casesofparoxysmalsupraventricularHeartbeathadcurativeeffectinthetreatmentofemergencyp

4、atientswithtachycardia,andcarriesontheclinicalanalysis・Methods:58patientswithparoxysmalroominourhospitaiin2013May~2014yearinMayemergencywereonHeartbeatspreadspeedwiththestudy,dividedaccordingtotheemergencytreatmentfortwogroups,oneforpropafenonetreatmentastheobs

5、ervationgroup,ATPtherapyascontrolgroup,toobservetheclinicaleffectandsidereactiondrugswerecomparedbetweentwogroupsofpatientscondition.Results:afterthetreatment,theobservationgroupcardioversioninpatientswiththetotaleffectiveratewas93.10%comparedwith68.97%inthecon

6、trolgroup;thetotaldrugadversereactionsratewas10.34%comparedwith34.48%inthecontrolgroup1ow;cardioversiontimeoftwogroupsofpatientscomparedtot二31.6075(p=0.0000),cardioversionofcomparativeefficiencyx2=5.4023(p二0.0201),totaldrugcomparisonofx2=4.7744(p=0.0289),thedif

7、ferencewasstatisticallysignificant.Conclusion:ProbaquinolonesforparoxysmalsupraventriculartachycardiaBeckoningtreatmenteffectisremarkableintheemergencyroom,thesideeffectsofthedrugwithlowincidence,highsafety,andimprovethepatient'srecoveryratio,itisworthinclinica

8、lapplicatiokeyword:paroxysmalsupraventricularHeartbeattachycardia;emergencytreatment:clinicalanalysis心动过速是临床常见的病症，主要有两种类型：一类是心室以上部位，心房发生的心动过速，称为室上性心动过速；另一类是，室性心动过速。引起心动过速的原因