摘要
目的观察胺碘酮与利多卡因对体外循环术后室性心律失常的疗效及对血流动力学的影响。方法体外循环术后并发室性心律失常患者87例,分为胺碘酮组(A组)42例和利多卡因组(L组)45例,分别予以胺碘酮及利多卡因治疗,持续心电监护,观察用药前后有创平均动脉压(MAP)、心率(HR)和中心静脉压(CVP)变化,比较临床疗效。结果胺碘酮组总有效率92.86%,利多卡因组总有效率78.78%,差异有显著性意义(2χ=3.89,P<0.05);两组MAP、HR、CVP值比较,差异均无显著性意义(P>0.05)。结论胺碘酮治疗体外循环术后并发室性心律失常的有效率高于利多卡因,二者对血流动力学的影响差异小。
Objective To observe the effects of amiodarone and lidocaine on anti-arrhythmia and hemodynamic index in patients after cardiac surgery with cardiopulmonary bypass.Methods 87 cases of ventricular arrhythmia patients after cardiac surgery with cardiopulmonary bypass into two groups.42 cases treated with amiodarone and 45 cases with lidocaine.Electrocardio-monitors MAP,HR and CVP value were observed.Results The total effective rate of amiodarone group was 92.86%,while lidocaine group was 78.78%,and the differ...
出处
《实用医院临床杂志》
2009年第6期46-48,共3页
Practical Journal of Clinical Medicine
关键词
胺碘酮
利多卡因
体外循环
室性心律失常
Amiodarone
Lidocaine
Cardiopulmonary bypass
Ventricular arrhythmia
