摘要
目的 探讨使用胺碘酮治疗方式对急性心衰合并心律失常患者的安全性和临床效果。方法 研究于2025年1月开始,收集样本共100例,患者均为急性心衰合并心律失常,研究结束于2026年1月。所有患者根据治疗方式不同进行分组,50例使用常规治疗的患者为对照组,其余叠加胺碘酮治疗的患者为观察组。并比较两组不同治疗方式下患者心功能指标、血压及心率指标、不良反应发生率及治疗效果。结果 经过治疗后,观察组患者心功能指标较优、血压及心率控制效果较好(P<0.05);观察组患者不良反应发生率明显较低,治疗效果显著较优(P<0.05)。结论 使用胺碘酮治疗方式,对急性心衰合并心律失常患者来说,能够明显改善患者心功能指标,控制血压及心律水平。同时,安全性和治疗效果明显较好,是符合患者疾病治疗要求的有效药物。
关键词: 急性心衰;心律失常;胺碘酮;安全性;临床效果
Abstract
Objective To investigate the safety and clinical efficacy of amiodarone therapy in patients with acute heart failure complicated by arrhythmia. Methods The study was conducted from January 2025, with a total of 100 cases collected, all of whom were patients with acute heart failure complicated by arrhythmia. The study concluded in January 2026. All patients were divided into groups based on different treatment modalities: 50 patients receiving conventional treatment formed the control group, while the remaining patients receiving additional amiodarone therapy formed the observation group. The cardiac function indices, blood pressure and heart rate control, incidence of adverse reactions, and therapeutic outcomes were compared between the two groups. Results After treatment, the observation group demonstrated superior cardiac function indices, better blood pressure and heart rate control (P<0.05). The incidence of adverse reactions was significantly lower in the observation group, and the therapeutic outcomes were markedly superior (P<0.05). Conclusion Amiodarone therapy significantly improves cardiac function indices, blood pressure, and heart rate control in patients with acute heart failure complicated by arrhythmia. Additionally, it exhibits superior safety and therapeutic efficacy, making it an effective medication that meets the treatment requirements for these patients.
Key words: Acute heart failure; Arrhythmia; Amiodarone; Safety; Clinical efficacy
参考文献 References
[1] 党磊,韩景怡,彭小荷,等. 去乙酰毛花苷联合胺碘酮治疗急性心力衰竭合并快速型心律失常患者的疗效分析 [J]. 中国合理用药探索, 2024, 21 (02): 76-81.
[2] 程敏,李靖,宋昕雨,等. 决奈达隆与胺碘酮在特发性室性心律失常患者窦性心律维持中的疗效和安全性 [J]. 中国医科大学学报, 2025, 54 (07): 657-660.
[3] 程燕,易娟丽. 决奈达隆与胺碘酮联合导管消融术治疗心房颤动的效果比较及对心功能和炎性反应的影响 [J]. 临床合理用药, 2025, 18 (21): 40-43.
[4] 邓月娟,谭晓晖,关秀兰,等. 艾司洛尔联合胺碘酮治疗急性心肌梗死合并快速型心律失常疗效及对心电图的影响 [J]. 基层医学论坛, 2023, 27 (20): 23-26.
[5] 龙敬宁,王建铭,范振平,等. 盐酸决奈达隆片与胺碘酮片对心房颤动患者经导管射频消融术后复发的影响对比研究 [J]. 中国合理用药探索, 2025, 22 (08): 71-75.
[6] 李建华,李闯,魏永兴,等. 稳心颗粒联合胺碘酮治疗冠心病合并快速型心律失常患者的效果 [J]. 中国民康医学, 2025, 37 (17): 97-99.
[7] 马海燕. 参松养心胶囊与盐酸胺碘酮片联合疗法在冠心病室性早搏治疗中的疗效及安全性探讨 [J]. 婚育与健康, 2025, 31 (18): 85-87.
[8] 王建铭,龙敬宁,张振岭,等. 伊布利特与胺碘酮在非阵发性心房颤动导管消融术中的应用对比研究 [J]. 中国合理用药探索, 2025, 22 (09): 69-74.