中华灾害救援医学2016，Vol.4Issue(9)：498-500,3.DOI:10.13919/j.issn.2095-6274.2016.09.005
胺碘酮与盐酸普罗帕酮在院前急救中治疗阵发性室上性心动过速的疗效比较
Comparison of clinical effect between amiodarone and propafenone in prehospital treatment of paroxysmal supraventricular tachycardia
胡远扬 1洪建芳 1赫英春 2林志华2
作者信息
- 1. 362000，福建省泉州市急救指挥中心急救科
- 2. 362000，福建省泉州市东南医院急诊科
- 折叠
摘要
Abstract
Objective To compare clinical efficacy between amiodarone and propafenone in prehospital treatment of paroxysmal supraventricular tachycardia.Methods 78 cases of an emergency command center in PSVT prehospital emergency patients from 2008, January to 2016, February in Fujian province were selected and randomly divided into amiodarone group (n=39) and propafenone group (n=39) treated by corresponding methods, PSVT cardioversion rate, cardioversion time and adverse drug reaction after treatment ,of the two groups were observed.Results The effective cardioversion rate of amiodarone group is slightly higher than that of propafenone hydrochloride group, but there was no significant difference; cardioversion time of the patients in the hydrochloride group was significantly shorter than that in the amiodarone group [(13.1±3.2)vs(24.8±5.3)h ], and the difference was statistically significant (t=2.07,P=0.003); the incidence of adverse reaction in the amiodarone group (5.13%) was less than that of propafenone group (20.51%), and the difference was statistically significant (P<0.05).Conclusions Amiodarone and propafenone both have good effects on the cardioversion of PSVT during prehospital first aid, the therapeutic effect of amiodarone was slightly higher than that of propafenone, and it has less adverse reactions, but its cardioversion time was slower.关键词
胺碘酮/盐酸普罗帕酮/阵发性室上性心动过速/院前急救Key words
amiodarone/propafenone/paroxysmal supraventricular tachycardia/prehospital first aid分类
医药卫生引用本文复制引用
胡远扬,洪建芳,赫英春,林志华..胺碘酮与盐酸普罗帕酮在院前急救中治疗阵发性室上性心动过速的疗效比较[J].中华灾害救援医学,2016,4(9):498-500,3.
