快速抗心律失常药治疗阵发性室上性心动过速42例分析

J4 ›› 2011, Vol. 10 ›› Issue (8): 34-35.

快速抗心律失常药治疗阵发性室上性心动过速42例分析

大理州中医医院，云南大理 671003

收稿日期:2010-12-01 出版日期:2011-08-15 发布日期:2011-08-15
作者简介:李雪梅，主治医师，主要从事心血管内科研究.

42 Cases of Paroxysmal Supraventricular Tachycardia Treated with Anti-tachyarrhythmia Drugs

Dali Traditional Chinese Medicine Hospital, Dali, Yunnan 671000, China

Received:2010-12-01 Online:2011-08-15 Published:2011-08-15

摘要/Abstract

摘要：

目的：总结快速抗心律失常药治疗陈发性室上性心动过速（PSVT）的经验。方法：回顾性总结分析大理州中医院2000 年
8 月至2010 年7 月收治的42 例PSVT 患者的临床资料。结果：异搏定组10 例，有效9 例，不良反应3 例、有效率90豫；心律平组12 例，有效12例，不良反应2 例，有效率100豫；ATP 组6 例，有效6 例，不良反应1 例，有效率100豫；西地兰组6 例，有效5例，不良反应0 例，有效率83.33豫；乙胺碘呋酮组8例，有效7 例，不良反应2 例，有效率87.5豫。结论：在严格掌握适应症和禁忌症的情况下选择合适的抗心律失常药治疗PSVT，可大大提高转复率，减少不良反应发生率，降低医疗风险。

关键词: 快速抗心律失常药, 阵发性室上速

Abstract:

Objective：To discuss the experience of paroxysmal supraventricular tachycardia （PSVT） treated with anti -
tachyarrhythmia drugs in Dali Traditional Chinese Medicine Hospital. Method: Retrospective analysis was conducted on 42 cases of PSVT from August 2000 to July 2010 in our hospital. Results: Five anti-tachyarrhythmia drugs were applied in 42 cases of PSVT according to each indication. There were 10 cases in Verapamil group, effective in 9 cases, 3 cases of adverse reactions, total efficiency was 90%; 12 cases in propafenone group, effective in all 12 cases, 2 cases of adverse reactions, total efficiency was 100%; among the 6 cases in ATP group, 6 were effective, 1 had adverse reaction, and the total efficiency was 100%; among the 6 cases in cedilanid group, 5 were effective with non adverse reaction observed, and its total efficiency was 83.33%; among the 8 cases in amiodarone group, 7 were effective, 2 had adverse reactions, and its total efficiency was 87.5%. Conclusion: Under strict indications and contraindications, anti-arrhythmic drug selection in PSVT therapy is most important; it can greatly improve the terminating rate of PSVT, and reduce the incidence of adverse reactions and clinical risks.

Key words: anti-tachyarrhythmia drugs, paroxysmal supraventricular tachycardia

中图分类号:

R541.7

李雪梅, 张碧芳, 金美四. 快速抗心律失常药治疗阵发性室上性心动过速42例分析[J]. J4, 2011, 10(8): 34-35.

LI Xue-Mei, ZHANG Bi-Fang, JIN Mei-Si. 42 Cases of Paroxysmal Supraventricular Tachycardia Treated with Anti-tachyarrhythmia Drugs[J]. J4, 2011, 10(8): 34-35.