摘要
目的 分析治疗冠心病心律不剂时联合应用胺碘酮和美托洛尔的效果。方法 抽取2023年1月-2024年1月期间我院收治的冠心病心律不齐患者80例,以随机信封法分组,仅使用胺碘酮治疗的患者为对照组(n=40),在此基础上增加服用美托洛尔的患者为观察组(n=40),对比治疗效果,评估患者的心功能指标,分析患者的不良反应发生率。结果 (1)观察组治疗有效率高于对照组(95.00%vs75.00%)(P<0.05);(2)治疗后,观察组患者的心功能指标优于对照(P<0.05)(3)治疗后,观察组患者出现不良反应的机率更低(P<0.05)。结论 胺碘酮联合美托洛尔治疗冠心病心律不剂可显著提升临床疗效,改善心功能。
关键词: 胺碘酮;美托洛尔;冠心病;心律不齐
Abstract
Objective To analyze the effect of amiodarone combined with metoprolol in the treatment of coronary heart disease. Methods A total of 80 patients with coronary heart disease and arrhythmia admitted to our hospital from January 2023 to January 2024 were selected and divided by random envelope method. Patients treated with amiodarone alone were used as the control group (n=40), and patients treated with metoprolol were added to the observation group (n=40). Treatment effects were compared and cardiac function indexes of patients were evaluated. The incidence of adverse reactions was analyzed. Results (1) The effective rate of observation group was higher than that of control group (95.00%vs75.00%) (P < 0.05); (2) After treatment, the cardiac function index of patients in the observation group was better than that of the control group (P < 0.05). (3) After treatment, the probability of adverse reactions in the observation group was lower (P < 0.05). Conclusion Amiodarone combined with metoprolol in the treatment of coronary heart disease can significantly improve clinical efficacy and cardiac function.
Key words: Amiodarone; Metoprolol; Coronary heart disease; Arrhythmia
参考文献 References
[1] 李哲.胺碘酮联合美托洛尔治疗冠心病心律不齐患者的临床效果观察[J].中国医药指南,2020,18(6):68.
[2] 张羿弓.胺碘酮联合美托洛尔治疗冠心病心律不齐患者的临床效果观察[J].每周文摘·养老周刊,2023(14):1-3.
[3] 刘红岗,蒲冬梅,李建宏.酒石酸美托洛尔片联合胺碘酮治疗冠心病伴快速性心律失常的有效性和安全性[J].临床医学研究与实践,2024,9(20):51-54 63.
[4] 雷涛,赵晓鹏,杨柳.胺碘酮联合美托洛尔缓释片治疗冠心病心律失常的疗效观察[J].深圳中西医结合杂志,2024, 34(10): 100-103.
[5] 杜师生.冠心病合并心律失常患者采取胺碘酮联合美托洛尔进行治疗的效果分析[J].中国实用医药,2024,19(8):11-14.
[6] 温秀丽.通心络胶囊联合美托洛尔和胺碘酮治疗冠心病伴室性心律失常的效果[J].现代医学与健康研究电子杂志,2024,8(14):83-85.
[7] 陈康丽,袁平年,王洋,刘通,赵晨,张娟.小剂量胺碘酮联合酒石酸美托洛尔缓释片治疗肥厚性心肌病合并心律失常患者的临床观察[J].贵州医药,2024,48(3):415-417.
[8] 赵勇.胺碘酮联合美托洛尔用于冠心病心律失常临床治疗效果观察[J].中文科技期刊数据库(文摘版)医药卫生,2023(2):58-60.
[9] 张爱兰,李平.胺碘酮联合美托洛尔治疗冠心病心律失常的临床效果研究[J].中国实用医药,2023,18(14):12-15.
[10] 杨强,徐亚菲.胺碘酮联合美托洛尔治疗慢性心力衰竭合并室性心律失常的疗效及不良反应观察[J].贵州医药, 2024, 48(3):404-406.